AIM: To explore the specific image of buried optic nerve drusen during optical coherence tomography(OCT)examination.

METHODS: A retrospective study was made on 6 patients with buried optic nerve drusen(6 eyes)diagnosed by fundus fluorescein angiography(FFA)and B scan examination.

RESULTS: The high fluorescence area of optic disc showed on the FFA image of all 6 patients imaged with the spectral OCT revealed cluster of calcium deposits. These deposits demonstrated specific wide bars with high reflectivity casting shadows underneath and had lacunae appearance.

CONCLUSION: Buried optic nerve drusen showed specific image in the spectral OCT examination. Thus, spectral OCT can serve as an assistant examination method with relatively prominent features for diagnosing buried optic nerve drusen. It can help to raise the detection rate of buried optic nerve drusen.