Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT

Rosa, Nicola; De Bernardo, Maddalena; Abbinante, Giulia; Vecchio, Gianluca; Cione, Ferdinando; Capasso, Luigi

doi:10.3390/jcm11133715

Open AccessArticle

Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT

by

Nicola Rosa

¹

,

Maddalena De Bernardo

^1,*

,

Giulia Abbinante

¹,

Gianluca Vecchio

¹,

Ferdinando Cione

¹

and

Luigi Capasso

²

¹

Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, Via S. Allende 43, 84081 Baronissi, Italy

²

Corneal Transplant Unit, ASL Napoli 1, 80100 Naples, Italy

^*

Author to whom correspondence should be addressed.

J. Clin. Med. 2022, 11(13), 3715; https://doi.org/10.3390/jcm11133715

Submission received: 25 February 2022 / Revised: 22 June 2022 / Accepted: 23 June 2022 / Published: 27 June 2022

(This article belongs to the Special Issue Clinical Practice of Ocular Ultrasonography and OCT in the Emergency Medicine)

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Abstract

This observational study compared optic coherence tomography (OCT) and B-scan in the detection of optic disc drusen. In total, 86 eyes of 50 patients with optic disc drusen (ODD) (36 bilateral) with a mean age of 34.68 ± 23.81 years, and 54 eyes of 27 patients with papilledema, with a mean age of 35.42 years ± 17.47, were examined. Patients with ODD, diagnosed with ultrasound, underwent spectral-domain OCT evaluation. With US, 28 ODD cases were classified as large (4 buried and 24 superficial), 58 were classified as point-like (6 buried, 49 superficial and 3 mixed). Then, all patients underwent OCT. OCT was able to detect the presence of ODD and/or peripapillary hyperreflective ovoid mass structure (PHOMS) in 69 eyes (p < 0.001). In particular, 7 eyes (8.14%) showed the presence of ODD alone, 25 eyes (29.07%) showed only PHOMS and 37 eyes (43.02%) showed ODD and PHOMS. In 17 eyes (19.77%) no ODD or PHOMS were detected. In the papilledema group, no ODD were observed with both US and OCT. OCT showed the presence of drusen or similar lesions in only 80.23% of the cases highlighted by the US scan, so it does not allow for certain ODD diagnoses, especially in the case of buried ODD.

Keywords: B-scan; OCT; optic disc drusen; PHOMS; ultrasound

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MDPI and ACS Style

Rosa, N.; De Bernardo, M.; Abbinante, G.; Vecchio, G.; Cione, F.; Capasso, L. Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT. J. Clin. Med. 2022, 11, 3715. https://doi.org/10.3390/jcm11133715

AMA Style

Rosa N, De Bernardo M, Abbinante G, Vecchio G, Cione F, Capasso L. Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT. Journal of Clinical Medicine. 2022; 11(13):3715. https://doi.org/10.3390/jcm11133715

Chicago/Turabian Style

Rosa, Nicola, Maddalena De Bernardo, Giulia Abbinante, Gianluca Vecchio, Ferdinando Cione, and Luigi Capasso. 2022. "Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT" Journal of Clinical Medicine 11, no. 13: 3715. https://doi.org/10.3390/jcm11133715

APA Style

Rosa, N., De Bernardo, M., Abbinante, G., Vecchio, G., Cione, F., & Capasso, L. (2022). Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT. Journal of Clinical Medicine, 11(13), 3715. https://doi.org/10.3390/jcm11133715

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Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT

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