S M Brown1, M A Del Monte. 1. W. K. Kellogg Eye Center, University of Michigan, Ann Arbor 48105, USA.
Abstract
PURPOSE: To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children. METHODS: We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility. RESULTS: Clinical examination of the patient provided the diagnosis of optic nerve head drusen, pseudopapilledema, and a cicatrized choroidal neovascular membrane. Examination of the boy's parents disclosed optic nerve head drusen in the father. CONCLUSIONS: Choroidal neovascular membranes caused by optic nerve head drusen are uncommon in children. Clinical examination of the patient and family members, along with B-scan ultrasonography, can establish this cause. Neuroradiologic testing is unnecessary, and carries risk related to the need for sedation.
PURPOSE: To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children. METHODS: We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility. RESULTS: Clinical examination of the patient provided the diagnosis of optic nerve head drusen, pseudopapilledema, and a cicatrized choroidal neovascular membrane. Examination of the boy's parents disclosed optic nerve head drusen in the father. CONCLUSIONS: Choroidal neovascular membranes caused by optic nerve head drusen are uncommon in children. Clinical examination of the patient and family members, along with B-scan ultrasonography, can establish this cause. Neuroradiologic testing is unnecessary, and carries risk related to the need for sedation.
Authors: Ana Marina Suelves; Ester Francés-Muñoz; Roberto Gallego-Pinazo; Diamar Pardo-Lopez; Jose Luis Mullor; Jose Fernando Arevalo; Manuel Díaz-Llopis Journal: Clin Ophthalmol Date: 2010-11-25