Optic Nerve Drusen? Yes, No, Maybe So? How to improve detection with EDI-OCT

In a pediatric population optic nerve drusen (OND) is often buried, non-calcified and difficult to detect on clinical examination compared to the adult presentation of optic nerve drusen. Many imaging modalities can be applied to tease out the clinical signs, such as fundus photos, bscan ultrasonocraphy, fundus autofluorescence, IVFA, OCT and more recently, Enhanced Depth (EDI) OCT Imaging. Although many research papers have explored how to improve detection of OND, no single method can be relied upon in all instances. After careful review of the research papers, EDI-OCT is showing promise within our pediatric population. This presentation will detail how EDI-OCT, using a modified approach in scanning technique, can complement other imaging modalities to improve detection of buried non-calcified drusen bodies.