Central serous papillopathy by optic nerve head drusen

Ana Marina Suelves¹, Ester Francés-Muñoz¹, Roberto Gallego-Pinazo¹, Diamar Pardo-Lopez¹, Jose Luis Mullor², Jose Fernando Arevalo³, Manuel Díaz-Llopis^1,4,5
1Department of Ophthalmology, La Fe University Hospital, Valencia, Spain; ²Instituto de Investigación Sanitaria, Fundación para la investigación, La Fe Hospital, Valencia, Spain; ³Retina and vitreous service, Clínica Oftalmológica Centro Caracas, Caracas DC, Venezuela; ⁴Department of Ophthalmology, University of Medicine, Valencia, Spain; ⁵CIBERER, The Biomedical Network Research Centre on Rare Diseases, Valencia, Spain

Abstract: We report a 38-year-old man with a complaint of blurred vision in his right eye for the previous 5 days. He had bilateral optic disc drusen. Fluorescein angiography revealed multiple hyperfluorescent foci within temporal optic discs and temporal inferior arcade in late phase. Optical coherence tomography showed bilateral peripapillary serous detachment as well as right macular detachment. This is the first reported case of a concurrent peripapillary and macular detachment in a patient with central serous papillopathy by optic disc drusen. Central serous papillopathy is an atypical form of central serous chorioretinopathy that should be considered as a potential cause of acute loss of vision in patients with optic nerve head drusen.

Keywords: central serous papillopathy, peripapillary central serous chorioretinopathy, optic nerve head drusen, peripapillary subretinal fluid