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

Détails

ID Serval
serval:BIB_169060549367
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Anomalies et complications vasculaires dans les drusen du nerf optique [Vascular anomalies and complications of optic nerve drusen]
Périodique
Klinische Monatsblätter für Augenheilkunde
Auteur(s)
Borruat F.X., Sanders M.D.
ISSN
0023-2165
Statut éditorial
Publié
Date de publication
1996
Peer-reviewed
Oui
Volume
208
Numéro
5
Pages
294-6
Langue
français
Notes
Publication types: English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't - Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 12:37
Dernière modification de la notice
20/08/2019 12:46
Données d'usage