Optic Disc Hemorrhage

From EyeWiki
Revision as of 17:23, November 8, 2014 by Sarah.H.VanTassel (talk | contribs)


Article in progress.

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. 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. 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. 3.0 3.1 3.2 Drance SM. Disc hemorrhages in the glaucomas. Surv Ophthalmol. 1989;33(5):331–337.
  4. 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.