Optic Disc Hemorrhage
Article in progress.
- 1 Summary
- 2 Disease Entity
- 3 Disease: Disc Hemorrhages
- 4 Etiology and Pathophysiology
- 5 Epidemiology
- 6 Physical Examination and Clinical Diagnosis
- 7 Diagnostic Procedures
- 8 Differential diagnosis
- 9 Management
- 10 Prognosis
- 11 Future Work
- 12 References
Disease: Disc Hemorrhages
Disc hemorrhages are splinter or flame-shaped hemorrhages oriented perpendicular to the optic disc margin. Classically, these hemorrhages are located in the prelaminar optic disc, cross the peripapillary zone, and extend into the adjacent superficial retinal nerve fiber layer, although they may not occupy the entire length from disc to retina. Alternately, deeper disc hemorrhages may appear round and blotchy. 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.
Etiology and Pathophysiology
Mechanical and Vascular Hypotheses
The Relationship to Rim Notches
Physical Examination and Clinical Diagnosis
Duration and Recurrence
Development of Glaucoma
Do all individuals with disc hemorrhage develop glaucoma?
Progression of Glaucoma
Recurrent Disc Hemorrhages
- Uhler TA, Piltz-Seymour J. Optic disc hemorrhages in glaucoma and ocular hypertension: implications and recommendations. Curr Opin Ophthalmol. 2008;19(2):89–94.
- Schacknow PN, Samples JR eds. The glaucoma book: a practical, evidence-based approach to patient care. New York: Springer; 2010.
- Drance SM. Disc hemorrhages in the glaucomas. Surv Ophthalmol. 1989;33(5):331–337.
- 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.