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7-year-old child was seen in the office on 10/6/2009. She had difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. You saw her and suggested she come here for an evaluation. She does not have her new prescription yet. VISUAL ACUITY: Vision OU is 20/50. AMSLER GRID: Both eyes are normal. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There are no hemorrhages. There are no cotton-wool spots around the optic nerve. There is an anomalous branching pattern of the retinal vessels. OS: Vertical C/D ratio is 0.0. There is an optic nerve drusen on the inferior edge of the optic nerve. There are no hemorrhages. There are no cotton-wool spots. There is an anomalous retinal vascular pattern. PHOTOGRAPHS: Photos confirm clinical findings. ULTRASOUND: Ultrasound shows calcification of the optic nerve head in each eye. IMPRESSION: 1. PSEUDOPAPILLEDEMA – BOTH EYES 2. OPTIC NERVE DRUSEN – BOTH EYES DISCUSSION: I explained to the mother that she has all the classic signs of pseudopapilledema and optic nerve drusen. I do not believe any further evaluation is necessary. It may be worthwhile for you to obtain a visual field test. She is scheduled for an MRI scan. I do not think there is any harm in doing the MRI scan, but I am confident it will be normal. I asked her to see you back in three to six months just to make sure there is nothing evolving.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification333 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification301 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification375 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification292 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification332 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification507 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification282 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification291 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.

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7-year-old child was seen in the office on 10/6/2009. She had difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. You saw her and suggested she come here for an evaluation. She does not have her new prescription yet. VISUAL ACUITY: Vision OU is 20/50. AMSLER GRID: Both eyes are normal. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There are no hemorrhages. There are no cotton-wool spots around the optic nerve. There is an anomalous branching pattern of the retinal vessels. OS: Vertical C/D ratio is 0.0. There is an optic nerve drusen on the inferior edge of the optic nerve. There are no hemorrhages. There are no cotton-wool spots. There is an anomalous retinal vascular pattern. PHOTOGRAPHS: Photos confirm clinical findings. ULTRASOUND: Ultrasound shows calcification of the optic nerve head in each eye. IMPRESSION: 1. PSEUDOPAPILLEDEMA – BOTH EYES 2. OPTIC NERVE DRUSEN – BOTH EYES DISCUSSION: I explained to the mother that she has all the classic signs of pseudopapilledema and optic nerve drusen. I do not believe any further evaluation is necessary. It may be worthwhile for you to obtain a visual field test. She is scheduled for an MRI scan. I do not think there is any harm in doing the MRI scan, but I am confident it will be normal. I asked her to see you back in three to six months just to make sure there is nothing evolving.