Submacular surgery for choroidal neovascularization secondary to optic nerve drusen

PURPOSE: To report a case of bilateral choroidal neovasularization (CNV) secondary to optic nerve drusen (OND). DESIGN: Interventional case report. METHODS: A 9 year-old girl presented with peripapillary CNV of the right eye and peripapillary and subfoveal CNV of the left eye secondary to OND. The CNV was excised with submacular surgery in the left eye. RESULTS: Visual acuity increased from 0.05 to 0.3 in the left eye after submacular surgery and did not change from 0.3 in the right eye during 6-month follow-up. Partial retinal pigment epithelial atrophy, but no recurrence of CNV, was observed after CNV excision. CONCLUSION: Subfoveal CNV is an uncommon complication of OND and surgical excision may be useful in selected cases.