Optic Disc Drusen Associated Choroidal Neovascularization with Intraretinal and Subretinal Fluid

This case report describes a pediatric patient who initially presented with blurry vision and an irregular-appearing optic disc, ultimately diagnosed as optic disc drusen (ODD). Although optic disc drusen are often benign and stable, this patient's visual symptoms progressed over time. Follow-up imaging revealed the development of choroidal neovascularization (CNV) with associated intraretinal and subretinal fluid, a rare but vision-threatening complication of ODD, particularly unusual in the pediatric population. The report highlights key diagnostic features, including OCT and fundus findings, and discusses clinical decision-making regarding when to initiate anti-VEGF therapy versus when observation may be appropriate. This case emphasizes the importance of close monitoring in children with optic disc drusen, outlines risk factors for CNV development, and provides evidence-based guidance for managing ODD-associated CNV to prevent long-term vision loss.