Ischemic central retinal vein occlusion and neovascular glaucoma as a result of optic nerve head drusen.
OBJECTIVE
The purpose of this study was to report a case of ischemic central retinal vein occlusion (CRVO) caused by optic nerve head drusen.


METHODS
Case report and review of the literature.


RESULTS
A healthy 13-year-old boy was diagnosed with bilateral optic nerve head drusen. Two years later, he developed an ischemic CRVO and secondary neovascular glaucoma. A full medical workup was negative. Despite treatment, his vision eventually declined to no light perception from a funnel detachment.


CONCLUSIONS
Nonischemic CRVO or venous stasis retinopathy is a well-known entity associated with optic nerve head drusen. The authors report a case of ischemic CRVO in a patient with no underlying risks for this other than the observed drusen. This report clearly shows that optic nerve drusen may not be entirely benign and that they can precipitate ischemic CRVO.
From the Department of Ophthalmology, State University of New York at Stony Brook, Stony Brook, New York.
Robert A
RA
Honkanen
Fadi El
FE
Baba
Patrick
P
Sibony
Sujata P
SP
Prabhu