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A diagnostic challenge

Always a diagnostic challenge is the hyperopic early teen who presents with mom in tow and brings along a history of increased headaches and blurred vision….and on fundus examination there appears to be full discs. And you begin to question whether or not this is papilledema. And if so, do I get a scan? But maybe its disc drusen, and all is fine. But if it’s not drusen, how in the world do I discuss this with mom, whose job it is to be hyper-protective?

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James Fanelli, OD, FAAO
Associate Editor, Systemic Disease for odsonfb.com. Dr. Fanelli has over 25 years of experience in the fields of glaucoma and ocular disease. He has lectured to his colleagues around the world and has published countless articles in educational magazines. Dr. Fanelli was presented with the prestigious John D. Robinson Clinical Excellence Award, one of the highest honors given by the North Carolina State Optometric Society.

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