Difference between revisions of "Optic Disc Hemorrhage"
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Disc hemorrhages are splinter or flame-shaped hemorrhages oriented perpendicular to the optic disc margin.<ref name=":0">Uhler TA, Piltz-Seymour J. Optic disc hemorrhages in glaucoma and ocular hypertension: implications and recommendations. ''Curr Opin Ophthalmol''. 2008;19(2):89–94.</ref><ref name=":1">Schacknow PN, Samples JR eds. ''The glaucoma book: a practical, evidence-based approach to patient care''. New York: Springer; 2010.</ref><ref name=":2">Drance SM. Disc hemorrhages in the glaucomas. ''Surv Ophthalmol''. 1989;33(5):331–337.</ref><ref name=":3">Budenz DL, Anderson DR, Feuer WJ, et al. Detection and prognostic significance of optic disc hemorrhages during the Ocular Hypertension Treatment Study. ''Ophthalmology''. 2006;113(12):2137–2143.</ref> Classically, these hemorrhages are located in the prelaminar optic disc, cross the peripapillary zone, and extend into the adjacent superficial retinal nerve fiber layer,<ref name=":0" /><ref name=":2" /><ref name=":3" /> although they may not occupy the entire length from disc to retina.<ref name=":3" /> Alternately, deeper disc hemorrhages may appear round and blotchy.<ref name=":2" /> Less commonly, a disc hemorrhage may be noted in the peripapillary retinal nerve fiber layer reaching within one disc diameter of the optic disc margin.<ref name=":1" /> | Disc hemorrhages are splinter or flame-shaped hemorrhages oriented perpendicular to the optic disc margin.<ref name=":0">Uhler TA, Piltz-Seymour J. Optic disc hemorrhages in glaucoma and ocular hypertension: implications and recommendations. ''Curr Opin Ophthalmol''. 2008;19(2):89–94.</ref><ref name=":1">Schacknow PN, Samples JR eds. ''The glaucoma book: a practical, evidence-based approach to patient care''. New York: Springer; 2010.</ref><ref name=":2">Drance SM. Disc hemorrhages in the glaucomas. ''Surv Ophthalmol''. 1989;33(5):331–337.</ref><ref name=":3">Budenz DL, Anderson DR, Feuer WJ, et al. Detection and prognostic significance of optic disc hemorrhages during the Ocular Hypertension Treatment Study. ''Ophthalmology''. 2006;113(12):2137–2143.</ref> Classically, these hemorrhages are located in the prelaminar optic disc, cross the peripapillary zone, and extend into the adjacent superficial retinal nerve fiber layer,<ref name=":0" /><ref name=":2" /><ref name=":3" /> although they may not occupy the entire length from disc to retina.<ref name=":3" /> Alternately, deeper disc hemorrhages may appear round and blotchy.<ref name=":2" /> Less commonly, a disc hemorrhage may be noted in the peripapillary retinal nerve fiber layer reaching within one disc diameter of the optic disc margin.<ref name=":1" /> | ||
− | + | = Etiology and Pathophysiology = | |
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− | + | === Do all individuals with disc hemorrhage develop glaucoma? === | |
− | = | + | == Progression of Glaucoma == |
− | + | === Exfoliation Glaucoma === | |
− | + | === Recurrent Disc Hemorrhages === | |
− | + | = Future Work = | |
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Revision as of 16:23, November 8, 2014
All contributors:
Assigned editor:
Review:
Assigned status Update Pending
Article in progress.
Contents
Summary
Disease Entity
Disease: Disc Hemorrhages
Disc hemorrhages are splinter or flame-shaped hemorrhages oriented perpendicular to the optic disc margin.[1][2][3][4] Classically, these hemorrhages are located in the prelaminar optic disc, cross the peripapillary zone, and extend into the adjacent superficial retinal nerve fiber layer,[1][3][4] although they may not occupy the entire length from disc to retina.[4] Alternately, deeper disc hemorrhages may appear round and blotchy.[3] Less commonly, a disc hemorrhage may be noted in the peripapillary retinal nerve fiber layer reaching within one disc diameter of the optic disc margin.[2]
Etiology and Pathophysiology
Mechanical and Vascular Hypotheses
The Relationship to Rim Notches
Epidemiology
Prevalence
Associations
Ocular
Systemic
Physical Examination and Clinical Diagnosis
Location
Duration and Recurrence
Diagnostic Procedures
Differential diagnosis
Management
Prognosis
Development of Glaucoma
Do all individuals with disc hemorrhage develop glaucoma?
Progression of Glaucoma
Exfoliation Glaucoma
Recurrent Disc Hemorrhages
Future Work
References
- ↑ 1.0 1.1 Uhler TA, Piltz-Seymour J. Optic disc hemorrhages in glaucoma and ocular hypertension: implications and recommendations. Curr Opin Ophthalmol. 2008;19(2):89–94.
- ↑ 2.0 2.1 Schacknow PN, Samples JR eds. The glaucoma book: a practical, evidence-based approach to patient care. New York: Springer; 2010.
- ↑ 3.0 3.1 3.2 Drance SM. Disc hemorrhages in the glaucomas. Surv Ophthalmol. 1989;33(5):331–337.
- ↑ 4.0 4.1 4.2 Budenz DL, Anderson DR, Feuer WJ, et al. Detection and prognostic significance of optic disc hemorrhages during the Ocular Hypertension Treatment Study. Ophthalmology. 2006;113(12):2137–2143.