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Optic disc drusen

MedGen UID:
14495
Concept ID:
C0029128
Disease or Syndrome
Synonyms: Drusen, Optic Disc; Drusen, Optic Disk; Drusen, Optic Nerve; Optic Disc Drusen; Optic Disc Drusens; Optic Disk Drusen; Optic Disk Drusens; Optic Nerve Drusen
SNOMED CT: Hyaline bodies of optic disc (33629003); Optic nerve head drusen (33629003); Optic disc drusen (33629003); Drusen of optic disc (33629003)
 
HPO: HP:0012426
Monarch Initiative: MONDO:0001746

Definition

Optic disc drusen are acellular, calcified deposits within the optic nerve head. Optic disc drusen are congenital and developmental anomalies of the optic nerve head, representing hyaline-containing bodies that, over time, appear as elevated, lumpy irregularities on the anterior portion of the optic nerve. [from HPO]

Term Hierarchy

Conditions with this feature

Autosomal recessive inherited pseudoxanthoma elasticum
MedGen UID:
698415
Concept ID:
C1275116
Disease or Syndrome
Pseudoxanthoma elasticum (PXE) is a systemic disorder that affects the elastic tissue of the skin, the eye, and vascular system. Individuals most commonly present with angioid streaks of the retina found on routine eye examination or associated with retinal hemorrhage and/or characteristic papules in the skin. The most frequent cause of morbidity and disability in PXE is reduced vision due to complications of subretinal neovascularizations and macular atrophy. Other manifestations include premature gastrointestinal angina and/or bleeding, intermittent claudication of arm and leg muscles, stroke, renovascular hypertension, and cardiovascular complications (angina/myocardial infarction). Most affected individuals live a normal life span.
Retinitis pigmentosa 13
MedGen UID:
325486
Concept ID:
C1838702
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the PRPF8 gene.
Isolated microphthalmia 5
MedGen UID:
410021
Concept ID:
C1970236
Disease or Syndrome
Microphthalmia-retinitis pigmentosa-foveoschisis-optic disc drusen syndrome is a rare, genetic, non-syndromic developmental defect of the eye disorder characterized by the association of posterior microphthalmia, retinal dystrophy compatible with retinitis pigmentosa, localized foveal schisis and optic disc drusen. Patients present high hyperopia, usually adult-onset progressive nyctalopia and reduced visual acuity, and, on occasion, acute-angle glaucoma.
Leber congenital amaurosis 1
MedGen UID:
419026
Concept ID:
C2931258
Disease or Syndrome
Leber congenital amaurosis is also associated with other vision problems, including an increased sensitivity to light (photophobia), involuntary movements of the eyes (nystagmus), and extreme farsightedness (hyperopia). The pupils, which usually expand and contract in response to the amount of light entering the eye, do not react normally to light. Instead, they expand and contract more slowly than normal, or they may not respond to light at all.\n\nA specific behavior called Franceschetti's oculo-digital sign is characteristic of Leber congenital amaurosis. This sign consists of affected individuals poking, pressing, and rubbing their eyes with a knuckle or finger. Poking their eyes often results in the sensation of flashes of light called phosphenes. Researchers suspect that this behavior may contribute to deep-set eyes in affected children.\n\nIn very rare cases, delayed development and intellectual disability have been reported in people with the features of Leber congenital amaurosis. Because of the visual loss, affected children may become isolated. Providing children with opportunities to play, hear, touch, understand and other early educational interventions may prevent developmental delays in children with Leber congenital amaurosis.\n\nAt least 20 genetic types of Leber congenital amaurosis have been described. The types are distinguished by their genetic cause, patterns of vision loss, and related eye abnormalities.\n\nLeber congenital amaurosis, also known as LCA, is an eye disorder that is present from birth (congenital). This condition primarily affects the retina, which is the specialized tissue at the back of the eye that detects light and color. People with this disorder typically have severe visual impairment beginning at birth or shortly afterward. The visual impairment tends to be severe and may worsen over time.
Nanophthalmos 4
MedGen UID:
863285
Concept ID:
C4014848
Disease or Syndrome
Nanophthalmos is characterized by axial lengths of the ocular globe that are more than 2 SDs smaller than the normal range, or less than 20 mm in adults, with a cornea and lens that are typically of normal size, associated with severe hyperopia (farsightedness) of +7.00 diopters or more. The smaller dimensions of the anterior chamber depth cause the iridocorneal angle to be typically narrow. Abnormal thickening of the scleral connective tissue is often observed (summary by Awadalla et al., 2014). For a discussion of genetic heterogeneity of nanophthalmos, see NNO1 (600165).
Retinitis pigmentosa 71
MedGen UID:
897209
Concept ID:
C4225342
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the IFT172 gene.

Professional guidelines

PubMed

Bentin JM, Heegaard S, Jørgensen NR, Grahnemo L, Hamann S
Eye (Lond) 2024 Aug;38(12):2359-2364. Epub 2024 May 22 doi: 10.1038/s41433-024-03138-6. PMID: 38778137Free PMC Article
Bialer OY, Stiebel-Kalish H
Graefes Arch Clin Exp Ophthalmol 2024 Oct;262(10):3323-3330. Epub 2024 May 15 doi: 10.1007/s00417-024-06512-y. PMID: 38748211Free PMC Article
Sibony PA, Kupersmith MJ, Kardon RH
J Neuroophthalmol 2021 Mar 1;41(1):77-92. doi: 10.1097/WNO.0000000000001078. PMID: 32909979Free PMC Article

Recent clinical studies

Etiology

Donaldson L, Margolin E
J Neurol Sci 2021 May 15;424:117414. Epub 2021 Mar 24 doi: 10.1016/j.jns.2021.117414. PMID: 33799215
Yan Y, Ludwig CA, Liao YJ
Am J Ophthalmol 2021 May;225:18-26. Epub 2021 Jan 21 doi: 10.1016/j.ajo.2020.12.023. PMID: 33485838Free PMC Article
Allegrini D, Pagano L, Ferrara M, Borgia A, Sorrentino T, Montesano G, Angi M, Romano MR
Int Ophthalmol 2020 Aug;40(8):2119-2127. Epub 2020 May 7 doi: 10.1007/s10792-020-01365-w. PMID: 32383130
Rotruck J
Int Ophthalmol Clin 2018 Fall;58(4):67-82. doi: 10.1097/IIO.0000000000000236. PMID: 30239364
Martín-Begué N, Saint-Gerons M
Arch Soc Esp Oftalmol 2016 Dec;91(12):577-588. Epub 2016 Jul 1 doi: 10.1016/j.oftal.2016.05.010. PMID: 27378455

Diagnosis

Sibony PA, Kupersmith MJ, Kardon RH
J Neuroophthalmol 2021 Mar 1;41(1):77-92. doi: 10.1097/WNO.0000000000001078. PMID: 32909979Free PMC Article
Allegrini D, Pagano L, Ferrara M, Borgia A, Sorrentino T, Montesano G, Angi M, Romano MR
Int Ophthalmol 2020 Aug;40(8):2119-2127. Epub 2020 May 7 doi: 10.1007/s10792-020-01365-w. PMID: 32383130
Rotruck J
Int Ophthalmol Clin 2018 Fall;58(4):67-82. doi: 10.1097/IIO.0000000000000236. PMID: 30239364
Martín-Begué N, Saint-Gerons M
Arch Soc Esp Oftalmol 2016 Dec;91(12):577-588. Epub 2016 Jul 1 doi: 10.1016/j.oftal.2016.05.010. PMID: 27378455
Lam BL, Morais CG Jr, Pasol J
Curr Neurol Neurosci Rep 2008 Sep;8(5):404-8. doi: 10.1007/s11910-008-0062-6. PMID: 18713576

Therapy

Girard MJA, Panda S, Tun TA, Wibroe EA, Najjar RP, Aung T, Thiéry AH, Hamann S, Fraser C, Milea D
Neurology 2023 Jan 10;100(2):e192-e202. Epub 2022 Sep 29 doi: 10.1212/WNL.0000000000201350. PMID: 36175153
Falardeau JM, Pineles SL, Van Stavern GP, Lee AG
J Neuroophthalmol 2020 Dec;40(4):538-543. doi: 10.1097/WNO.0000000000000929. PMID: 32141977
Elnahry AG
Rom J Ophthalmol 2019 Apr-Jun;63(2):174-177. PMID: 31334397Free PMC Article
Padhy SK, Behera UC
BMJ Case Rep 2019 Jul 8;12(7) doi: 10.1136/bcr-2019-230677. PMID: 31289151Free PMC Article
Liaska A, Petrou P, Georgakopoulos CD, Diamanti R, Papaconstantinou D, Kanakis MG, Georgalas I
BMC Ophthalmol 2016 Jul 8;16:102. doi: 10.1186/s12886-016-0285-2. PMID: 27390837Free PMC Article

Prognosis

Yan Y, Liao YJ
Curr Opin Neurol 2021 Feb 1;34(1):108-115. doi: 10.1097/WCO.0000000000000881. PMID: 33278141Free PMC Article
Sibony PA, Kupersmith MJ, Kardon RH
J Neuroophthalmol 2021 Mar 1;41(1):77-92. doi: 10.1097/WNO.0000000000001078. PMID: 32909979Free PMC Article
Gramer G, Gramer E, Weisschuh N
J Glaucoma 2017 Oct;26(10):940-946. doi: 10.1097/IJG.0000000000000750. PMID: 28991151
Lee KM, Woo SJ, Hwang JM
Acta Ophthalmol 2017 Jun;95(4):e329-e335. Epub 2017 Jan 13 doi: 10.1111/aos.13338. PMID: 28084042
Antcliff RJ, Spalton DJ
Ophthalmology 1999 Jul;106(7):1278-81. doi: 10.1016/S0161-6420(99)00708-3. PMID: 10406605

Clinical prediction guides

Kaya P, Özdemir Yalçınsoy K, Özdamar Erol Y
Ocul Immunol Inflamm 2023 Oct;31(8):1700-1706. Epub 2023 Apr 17 doi: 10.1080/09273948.2023.2193843. PMID: 37068199
Teixeira FJ, Marques RE, Mano SS, Couceiro R, Pinto F
Eye (Lond) 2020 Sep;34(9):1577-1584. Epub 2019 Nov 19 doi: 10.1038/s41433-019-0694-6. PMID: 31745329Free PMC Article
Rebolleda G, Kawasaki A, de Juan V, Oblanca N, Muñoz-Negrete FJ
Curr Neurol Neurosci Rep 2017 Aug 17;17(10):74. doi: 10.1007/s11910-017-0790-6. PMID: 28819712
Malmqvist L, Lund-Andersen H, Hamann S
Acta Ophthalmol 2017 Jun;95(4):352-356. Epub 2016 Dec 20 doi: 10.1111/aos.13315. PMID: 27996202
Friedman AH, Beckerman B, Gold DH, Walsh JB, Gartner S
Surv Ophthalmol 1977 Mar-Apr;21(5):373-90. doi: 10.1016/0039-6257(77)90041-8. PMID: 68551

Recent systematic reviews

Mukriyani H, Malmqvist L, Subhi Y, Hamann S
Acta Ophthalmol 2024 Feb;102(1):15-24. Epub 2023 May 5 doi: 10.1111/aos.15690. PMID: 37144704
Allegrini D, Pagano L, Ferrara M, Borgia A, Sorrentino T, Montesano G, Angi M, Romano MR
Int Ophthalmol 2020 Aug;40(8):2119-2127. Epub 2020 May 7 doi: 10.1007/s10792-020-01365-w. PMID: 32383130
Liaska A, Petrou P, Georgakopoulos CD, Diamanti R, Papaconstantinou D, Kanakis MG, Georgalas I
BMC Ophthalmol 2016 Jul 8;16:102. doi: 10.1186/s12886-016-0285-2. PMID: 27390837Free PMC Article

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