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Comparison of Ultrasound Characteristics of Peripapillary Hyperreflective Ovoid Mass-Like Structures (PHOMS) and Optic Disc Drusen in Children.
J Neuroophthalmol
January 2025
Departments of Ophthalmology (DB, G-SY, GTL, RAA) and Neurology (DB, GTL, RAA), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; and Division of Ophthalmology (AG, GTL, RAA), Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Background: In children, pseudopapilledema is frequently caused by peripapillary hyperreflective ovoid mass-like structures (PHOMS) or optic disc drusen (ODD). While enhanced depth imaging (EDI) OCT can identify both, lack of cooperation, especially from younger children due to the duration of testing, often necessitates the use of B-scan ultrasound (BSUS). This study investigated whether PHOMS are hyperreflective on BSUS and if BSUS can differentiate PHOMS from ODD.
View Article and Find Full Text PDFClinical correlation of optic nerve head analysis performed by SD-OCT in children with pseudopapilledema and papilledema.
Photodiagnosis Photodyn Ther
December 2024
Assisstance Professor of Pediatric Neurology Department, Doctor Sami Ulus Pediatricand Trianing Hoapital Ankara, Turkey.
Purpose: To investigate some diagnostic indicators in optic nerve head (ONH) analysis of children with 'Pseudopapilledema' and 'Papilledema' by Spectral Domain Optical Coherence Tomography (SD-OCT).
Methods: Medical records of 52 children with optic disc swelling, who were followed up by the departments of pediatric neurology and ophthalmology between May 2018 and May 2019 were reviewed retrospectively. Cases were classified as group 1 (Papilledema secondary to Idiopathic Intracranial Hypertension) including 54 eyes of 27 cases, group 2 (Pseudopapilledema secondary to bilateral optic disc drusen) including 50 eyes of 25 cases and control group.
Distinguishing Papilledema from Pseudopapilledema in Children.
Adv Ophthalmol Optom
August 2024
Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.
Chiari Malformation Type I With Concurrent Bilateral Optic Disc Drusen: Is Follow-up Necessary?
Cureus
July 2024
Pediatric Ophthalmology, King Abdullah Specialist Children's Hospital, Riyadh, SAU.
Article Synopsis
- - The text discusses pseudopapilledema, specifically caused by optic disc drusen (ODD), which can look similar to papilledema, posing a diagnostic challenge, especially in a young boy with Chiari malformation type 1.
- - In such cases, advanced imaging techniques like fundus autofluorescence, optical coherence tomography (OCT), and B-scan ultrasonography are essential to differentiate between ODD and true papilledema due to elevated intracranial pressure (ICP).
- - The consensus among specialists is to monitor patients with annual eye exams and imaging to catch any changes in the optic nerve head, as the presence of ODD doesn't rule out the possibility of future issues related to increased ICP
Diagnostic dilemma of papilledema and pseudopapilledema.
Int Ophthalmol
June 2024
Department of Ophthalmology, Faculty of Medicine, PortSaid University, PortSaid, Egypt.
Article Synopsis
- * A literature review was conducted using databases like PubMed and Google Scholar to gather evidence on the causes and differentiation methods for both conditions.
- * Techniques such as Fundus fluorescein angiography, optical coherence tomography, and MRI help distinguish between the two, and in some cases, more invasive procedures like lumbar punctures may be necessary.
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