Abstract
PurposeTo investigate the prevalence and risk factors for visual field defect in patients with optic disc drusen (ODD).MethodsWe assessed the visual field status of patients with ODD whose diagnosis were confirmed by spectral-domain optical coherence tomography (SD-OCT). Visual field defects were classified as normal, enlarged blind spot, or other defects. ODD were classified into either type 1 (without hyperreflective border and heterogenic internal reflectance) or type 2 (with hyperreflective border and lower internal reflectance). The prevalence and risk factors for each visual field defect was analyzed using logistic regression analysis and classification and regression tree (CART) modeling.ResultsOf the 40 eyes with ODD, 33 (83%) eyes were categorized as type 1 and 7 (17%) eyes were categorized as type 2 ODD. Regarding the visual field defects, 19 (48%) eyes showed normal visual field, 11 (28%) eyes showed enlarged blind spot, and 9 (24%) eyes showed other defects. The latter was more frequent in type 2 ODD (P = 0.001). Logistic regression analysis revealed that the factor associated with other defects was the thinning of the average retinal nerve fiber layer (RNFL) (per 10 μm decrease, OR = 3.436, P = 0.004), and the factor associated with enlarged blind spot was the height of ODD (per 100 μm increase, OR = 3.956, P = 0.023). CART modeling revealed that the average RNFL thickness lesser than 85.5 μm, and then the ODD height larger than 348 μm were the best split-up factors for predicting the type of visual field defects.ConclusionsIn this study, one-quarter of ODD patients showed abnormal visual field defect other than enlarged blind spot. These other visual field defects appeared to be associated with the axonal loss in the eyes with type 2 ODD.
Highlights
Optic disc drusen (ODD) are acellular hyaline deposits within the optic nerve head [1]
We assessed the visual field status of patients with ODD whose diagnosis were confirmed by spectral-domain optical coherence tomography (SD-OCT)
Of the 40 eyes with ODD, 33 (83%) eyes were categorized as type 1 and 7 (17%) eyes were categorized as type 2 ODD
Summary
Optic disc drusen (ODD) are acellular hyaline deposits within the optic nerve head [1]. Superficial or visible ODD can be observed via funduscopic examination [1]. Histologic study, showed that superficial or visible ODD are covered by the transparent retinal tissue, i.e. they are buried, and the calcified border is observable using funduscopy [2]. It means that the indexes of calcification, if they exist in plenty, can be observed through the transparent retinal tissue over the ODD. It is reasonable to assume that there are various types of ODD and some of them show clear index of calcification, while others do not
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