IOTM: Optic Nerve Head Drusen (ONHD)

Image of the Month (IOTM) is a collection of interesting clinical cases with high quality images for all relevant imaging modalities (ex: color fundus, OCT, OCTA, FAF, FA, En Face, Red-free, choroidal vasculography (CVG), anterior imaging) and other clinical results if relevant (ex: visual field plots). Each case is submitted by an eye care professional using one of Topcon’s industry-leading OCT devices.

Case background

This patient presented with an elevated optic nerve. To help distinguish between calcified optic disc drusen vs. optic disc edema, fundus autofluorescence (Image B) successfully shows calcified optic disc drusen of the nerve head. The Triton’s capability to simultaneously show true color fundus photos (Image A), fundus autofluorescence (Image B), and OCT (Image C) makes the patient’s presentation clear without the need for further imaging.

— Amani A. Fawzi, MD

Diagnosis: Optic Nerve Head Drusen (ONHD)

Captured with: Topcon DRI OCT Triton Swept Source

DRI OCT Triton Images:
A. True Color Fundus Image
B. Fundus Autofl uorescence Image. Captured with Spaide FAF Filters.
C. Swept Source OCT Image

The opinions, ideas, views and assumptions expressed are the author’s own and do not necessarily represent the views of Topcon, nor do they constitute advice from Topcon.

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