A 72-year-old patient had abnormalities on her VF. What is your diagnosis?

Neuro Coach #5

Analysis

This is a fundus autofluoresence (FAF) image. Typically on FAF the optic nerve is dark. There is clear asymmetry between the two eyes. The left nerve is bigger and contains a number of autofluorescent spots. This patient had an arcuate scotoma, thickening of their rNFL on OCT, and segmental thinning of the macular ganglion cell layer (video).

They were diagnosed with optic nerve head drusen (ONHD).

In this 15-minute video featuring Dr. Paul Freund, Assistant Professor at Dalhousie University in Halifax, you will learn:

  • How to interpret the ONHD in a patient with disc elevation
  • How to interpret a FAF in a patient with an elevated nerve head
  • The importance of OCT for diagnosing ONHD
Neuro Coach #5 Analysis

Neuro Coach Tip

In a patient with disc swelling look for visible optic nerve head drusen or latent lesions on OCT.

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