Papel de la OCT en el diagnóstico diferencial entre drusas ocultas del nervio óptico y papiledema

  1. G. Rebolleda 1
  2. F.J. Muñoz-Negrete 1
  1. 1 Universidad de Alcalá, Alcalá de Henares (Madrid), España
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2016

Volume: 91

Issue: 9

Pages: 431-438

Type: Article

DOI: 10.1016/J.OFTAL.2016.02.022 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

Buried optic nerve head drusen are one of the most common causes of pseudo-papilloedema. In this review, we have chronologically addressed several useful traits in the differential diagnosis of a true papilloedema, using the different features of optical coherence tomography (OCT). The specificity of these features has improved at the same time as the improvement in penetration capability and resolution of newer OCT devices. Spectral domain OCT, and more specifically the enhanced depth imaging (EDI) technology, represents a turning point in directly visualise drusen, to quantify their size and to recognise their impact on neighbouring structures inside the optic nerve head.