A young woman noticed blurry vision and floaters in her left eye. Ophthalmoscopy revealed
small, elevated optic discs with blurry margins in both eyes (A, B) and peripapillary subretinal (B, white arrow) and intraretinal splinters (B, black arrow) and preretinal vitreous hemorrhage in the left eye. Enhanced-depth-imaging
ocular coherence tomography demonstrated bilateral buried optic nerve drusen (OND)
(C, left eye, white arrow). Intravenous fluorescein angiography did not show a peripapillary
choroidal neovascular membrane (E). OND can rarely cause peripapillary hemorrhage affecting all retinal layers due
to presumed vessel erosion by OND compression. Ophthalmologists should be aware that
OND can be associated with concentric peripapillary hemorrhage. Recognition of OND
and its complications avoids invasive testing for presumed papilledema.
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Article info
Publication history
Published online: February 16, 2023
Accepted:
January 27,
2023
Received:
December 6,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
