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Bilateral optic disc drusen in a patient misdiagnosed as papill edema

Konuralp Yakar

Optic disc drusen (ODD) are benign calcified deposits located at the head of the optic disc andare often visible within the optic nerve head. Most ODD patients are asymptomatic. In affectedpatients, the number and size of disc drusen are highly variable, and the drusen may be visiblenear the disc surface or buried within the disc, causing them to appear as pseudopapilledema.I report a case referred to our clinic with papilledema and a headache. She was previouslymisdiagnosed with papilledema and treated accordingly. However, she was still uncomfortableafter treatment. After ophthalmologic examination and B-scan ultrasonography, she wasdiagnosed with ODD. We confirmed our diagnosis based on autofluorescence and spectraldomain optical coherence tomography (SD-OCT), and she was subsequently diagnosed withpseudopapilledema and migraine.