Multicolor imaging in optic disc swelling

Indian J Ophthalmol. 2017 Nov;65(11):1251-1255. doi: 10.4103/ijo.IJO_473_17.

Abstract

Differentiating optic disc edema (ODE) from pseudo optic disc edema (PODE) continues to pose a diagnostic dilemma. Current report highlights the role of multicolor imaging (MC) in differentiating ODE from PODE. Composite multicolor images of the disc in ODE show greenish hyperreflectance that extends beyond the optic disc margins with irregular blurry margins and obscured disc vasculature whereas PODE shows a greenish hyperreflectance with clear and distinct margins and well delineated disc vasculature. MC imaging adds to the present armamentarium of imaging modalities obviating needless neurological evaluation mandatory in a case of true disc edema.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnostic Techniques, Ophthalmological*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Optic Disk / diagnostic imaging*
  • Optic Disk / pathology
  • Optic Disk Drusen / diagnostic imaging*
  • Optic Disk Drusen / pathology
  • Papilledema / diagnostic imaging*
  • Papilledema / pathology
  • Tomography, Optical Coherence / methods
  • Visual Acuity / physiology
  • Young Adult