TY - JOUR

T1 - Prevalence of optic disc drusen

T2 - A systematic review, meta-analysis and forecasting study

AU - Mukriyani, Hiwa

AU - Malmqvist, Lasse

AU - Subhi, Yousif

AU - Hamann, Steffen

N1 - Publisher Copyright: © 2023 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.

PY - 2024

Y1 - 2024

N2 - Optic disc drusen (ODD) are calcium-containing deposits in the optic nerve head, capable of causing visual field defects and sudden visual loss. The underlying pathophysiology remains inadequately understood and treatment options are missing. In this paper, we systematically reviewed prevalence studies of ODD in non-selected populations to provide an overview of its prevalence, conducted meta-analyses to determine modality-specific prevalence estimates and performed a forecasting study to estimate current and future global population number of individuals with ODD. We searched 11 literature databases on 25 October 2022 for prevalence studies of ODD in non-selected populations. Eight eligible studies provided data from a total of 27 463 individuals. Prevalence estimates were stratified according to diagnostic modalities: ophthalmoscopy 0.37% (95% CI: 0.10–0.95%), fundus photography 0.12% (95% CI: 0.03–0.24%), spectral domain optical coherence tomography with enhanced depth imaging 2.21% (95% CI: 1.25–3.42%) and histopathology 1.82% (95% CI: 1.32–2.38%). Using histopathology-based summary prevalence estimate, we forecast 145 million individuals with ODD currently, a number expected to increase further due to world population growth. These numbers underscore the importance of including ODD in health education and highlight the necessity of continuing research in ODD.

AB - Optic disc drusen (ODD) are calcium-containing deposits in the optic nerve head, capable of causing visual field defects and sudden visual loss. The underlying pathophysiology remains inadequately understood and treatment options are missing. In this paper, we systematically reviewed prevalence studies of ODD in non-selected populations to provide an overview of its prevalence, conducted meta-analyses to determine modality-specific prevalence estimates and performed a forecasting study to estimate current and future global population number of individuals with ODD. We searched 11 literature databases on 25 October 2022 for prevalence studies of ODD in non-selected populations. Eight eligible studies provided data from a total of 27 463 individuals. Prevalence estimates were stratified according to diagnostic modalities: ophthalmoscopy 0.37% (95% CI: 0.10–0.95%), fundus photography 0.12% (95% CI: 0.03–0.24%), spectral domain optical coherence tomography with enhanced depth imaging 2.21% (95% CI: 1.25–3.42%) and histopathology 1.82% (95% CI: 1.32–2.38%). Using histopathology-based summary prevalence estimate, we forecast 145 million individuals with ODD currently, a number expected to increase further due to world population growth. These numbers underscore the importance of including ODD in health education and highlight the necessity of continuing research in ODD.

KW - meta-analysis

KW - optic disc drusen

KW - optic nerve head drusen

KW - prevalence

KW - Pseudopapilledema

KW - systematic review

U2 - 10.1111/aos.15690

DO - 10.1111/aos.15690

M3 - Review

C2 - 37144704

AN - SCOPUS:85158100224

VL - 102

SP - 15

EP - 24

JO - Acta Ophthalmologica

JF - Acta Ophthalmologica

SN - 1755-375X

IS - 1

ER -