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Hyperemic swollen optic disk in patients with primary open-angle glaucoma.

S Hayasaka1, S Noda, M Sekimoto

  • 1Department of Ophthalmology, Shimane Medical University, Japan.

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|January 1, 1992
PubMed
Summary

Primary open-angle glaucoma can initially present as a hyperemic swollen optic disk. This initial optic disk finding was observed in two glaucoma cases, one bilateral and one unilateral.

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Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Optic Nerve Disorders

Background:

  • Primary open-angle glaucoma (POAG) is a leading cause of irreversible blindness.
  • Early detection and diagnosis of POAG are crucial for preventing vision loss.
  • Typical signs of POAG include optic nerve damage and visual field defects.

Observation:

  • This report details two cases where a hyperemic swollen optic disk was the initial clinical manifestation.
  • The optic disk swelling was observed in one case bilaterally and in another unilaterally.
  • These observations suggest an atypical presentation of POAG.

Findings:

  • A hyperemic swollen optic disk can be an early sign of primary open-angle glaucoma.
  • This presentation is not commonly associated with the typical initial findings of POAG.

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  • The optic disk appearance may precede other characteristic signs of glaucoma.

    • Implications:

    • Clinicians should consider POAG in the differential diagnosis of hyperemic optic disk swelling.
    • This finding may necessitate a broader diagnostic approach for suspected glaucoma.
    • Further research is warranted to understand the pathophysiology and prevalence of this presentation.