The Retina Reference

Optic Disc Drusen with Peripapillary Net

Color fundus disc photos and fluorescein angiogram of an 83 year old male with bilateral optic disc drusen. Patient presented with no visual complaints and the findings were picked up during a routine eye exam. Upon examination, optic disc drusen were found in both eyes (blue arrows). The left eye, in addition, had a peripapillary hemorrhage superior to the disc, and leaking fluorescein indicated by the orange arrow. This indicates juxtipapillyary choroidal neovascularization. No treatment was offered as the hemorrhage was not a threat to the macula, but the patient will be monitored.