Central serous papillopathy by optic nerve head drusen

Abstract

Ana Marina Suelves1, Ester Francés-Muñoz1, Roberto Gallego-Pinazo1, Diamar Pardo-Lopez1, Jose Luis Mullor2, Jose Fernando Arevalo3, Manuel Díaz-Llopis1,4,51Department of Ophthalmology, La Fe University Hospital, Valencia, Spain; 2Instituto de Investigación Sanitaria, Fundación para la investigación, La Fe Hospital, Valencia, Spain; 3Retina and vitreous service, Clínica Oftalmológica Centro Caracas, Caracas DC, Venezuela; 4Department of Ophthalmology, University of Medicine, Valencia, Spain; 5CIBERER, The Biomedical Network Research Centre on Rare Diseases, Valencia, SpainAbstract: We report a 38-year-old man with a complaint of blurred vision in his right eye for the previous 5 days. He had bilateral optic disc drusen. Fluorescein angiography revealed multiple hyperfluorescent foci within temporal optic discs and temporal inferior arcade in late phase. Optical coherence tomography showed bilateral peripapillary serous detachment as well as right macular detachment. This is the first reported case of a concurrent peripapillary and macular detachment in a patient with central serous papillopathy by optic disc drusen. Central serous papillopathy is an atypical form of central serous chorioretinopathy that should be considered as a potential cause of acute loss of vision in patients with optic nerve head drusen.Keywords: central serous papillopathy, peripapillary central serous chorioretinopathy, optic nerve head drusen, peripapillary subretinal fluid