What is the treatment for ONH drusen?

What is the treatment for ONH drusen?

• A. Laser therapy
• B. No treatment
• C. Intraocular injections
• D. Antibiotic drops

Answer: (B)

ONH drusen are harmless calcified deposits within the optic nerve head that typically don’t require intervention. There’s no proven treatment to remove or dissolve the drusen, and no therapy has been shown to reverse any associated or potential visual field loss. The best approach is observation with regular monitoring for changes in the optic nerve or vision. This includes dilated exams, visual field testing, and imaging (such as OCT) to track any progressive thinning of the retinal nerve fiber layer. Avoid treating as if it were optic disc edema or another condition needing active therapy, since that would expose the patient to unnecessary risks. If a complication does arise, management would address that issue rather than the drusen itself.

ONH drusen are harmless calcified deposits within the optic nerve head that typically don’t require intervention. There’s no proven treatment to remove or dissolve the drusen, and no therapy has been shown to reverse any associated or potential visual field loss. The best approach is observation with regular monitoring for changes in the optic nerve or vision. This includes dilated exams, visual field testing, and imaging (such as OCT) to track any progressive thinning of the retinal nerve fiber layer. Avoid treating as if it were optic disc edema or another condition needing active therapy, since that would expose the patient to unnecessary risks. If a complication does arise, management would address that issue rather than the drusen itself.