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AIM: To explore the clinical features and related factors of hemorrhage at the edge of optic disc. METHODS: A thorough ophthalmologic examination was carried out for 98 cases with hemorrhage at the edge of optic disc, including visual acuity, visual field, intraocular pressure, three-mirror contact lens, blood pressure examinations and fundus fluorescein angiography. Some cases underwent head CT scanning and laboratory tests. The results of examinations were comprehensively analyzed to confirm the disease that was associated with the hemorrhage at the edge of optic disc. RESULTS: There were 14 different kinds of diseases associated with the hemorrhage at the edge of optic disc in 97 cases and the exact cause was not found in 1 case. CONCLUSION: The hemorrhage at the edge of optic disc is a common clinical sign. It is not only associated with some diseases in eyes per se such as optic disc edema, anterior ischemic optic neuropathy (AION), non-specific inflammation of optic disc, ocular trauma and so on, but also related to certain congenital diseases of optic disc and systematic diseases. Particular attention should be paid to whether glaucoma is present or not. Once the hemorrhage at the edge of optic disc was found in clinic, the detailed examination should be performed to seek the relevant disease. LA: Chinese
Dr. Q.-X. Jin, Department of Ophthalmology, No. 521 Hospital of Xi'an Weapon Industry, Xi'an 710065 Shaanxi Province, China. qingxinj@hotmail.com
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.10 Glaucomas associated with hemorrhage (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
2.14 Optic disc (Part of: 2 Anatomical structures in glaucoma)