Anomalies et complications vasculaires dans les drusen du nerf optique [Vascular anomalies and complications of optic nerve drusen]

Details

Serval ID
serval:BIB_169060549367
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Anomalies et complications vasculaires dans les drusen du nerf optique [Vascular anomalies and complications of optic nerve drusen]
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Borruat F.X., Sanders M.D.
ISSN
0023-2165
Publication state
Published
Issued date
1996
Peer-reviewed
Oui
Volume
208
Number
5
Pages
294-6
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't - Publication Status: ppublish
Abstract
BACKGROUND: Drusen of the optic disc are associated with slowly progressive optic neuropathy, characterized by accumulation of acellular laminated concretions in the prelaminar portion of the optic nerve. Papillary hemorrhages and vascular shunts have been reported with disc drusen but their frequency and clinical significance is not well known. METHODS: Retrospective study of fundus photographs of 116 patients with disc drusen referred to the National Hospital for Neurology and Neurosurgery, London, between 1965 and 1991. RESULTS: Hemorrhages were found in 23 eyes from 16/116 (13.8%) patients. Most cases (68.8%, 11/16 cases) occurred in patients with buried drusen, and most hemorrhages were deeply located. Vascular shunts were present in 6.9% (8/116 cases), most frequently in patients with exposed drusen (6/8 cases), most being of the venous type (7/8 cases). DISCUSSION: Vascular anomalies are not rare in disc drusen, as 20.7% (24/116 cases) of our patients presented either disc hemorrhages or shunt vessels. Their presence supports the hypothesis of the slowly progressive nature of disc drusen and the more advanced stage of optic neuropathy in such eyes.
Keywords
Adolescent, Adult, Aged, Arteriovenous Fistula, Child, Female, Fluorescein Angiography, Humans, Male, Middle Aged, Optic Disk, Optic Disk Drusen, Retinal Diseases, Retinal Hemorrhage, Visual Acuity
Pubmed
Web of science
Create date
28/01/2008 12:37
Last modification date
20/08/2019 12:46
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