Optic nerve head drusen simulating a bitemporal hemianopia

Ann Ophthalmol (Skokie). 2009 Spring;41(1):47-9.


A 70-year-old man right eye over 5 weeks. He was found clinically to have a bitemporal hemianopia and bilateral disc edema. Testing revealed optic nerve head drusen (ONHD) bilaterally causing enlarged blind spots (pseudo-bitemporal hemianopia). This case illustrates that ONHD should be listed in the differential diagnosis for bitemporal hemianopia when brain imaging is normal.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Hemianopsia / diagnosis*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Optic Disk Drusen / diagnosis*
  • Papilledema / diagnosis
  • Tomography, X-Ray Computed
  • Visual Acuity
  • Visual Fields