Retinitis Pigmentosa with Optic Nerve Drusen

Widefield retinography (UWF color, Clarus 700, Zeiss): Characteristic signs of RP: altered RPE, bone spicules, vascular thinning and papillary pallor.

AF Green: Hypofluorescence due to RPE involvement, with mottling at macular level. Hyperfluorescence at papillary level due to DNO.

Dr. Pablo Gili Manzanaro
Dr. Pablo Gili Manzanaro. Dr. Ricardo de Vega García

Description

Retinitis pigmentosa (RP) is the most common retinal dystrophy. The presence of optic nerve head (ONH) drusen is much more frequent in RP (10-20%) than in the general population (1-2%).

Comments

Fundus autofluorescence helps detect ONH drusen that may go unnoticed in the eye fundus.

Indication

30-year-old male diagnosed with RP referred for eye fundus evaluation due to possible papilledema. Imaging tests revealed the presence of ONH drusen.