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Multilayered optic disc hemorrhages in adolescents
Journal of Pediatric Ophthalmology and Strabismus
|July 19, 2014
Summary
Multilayered optic disc hemorrhages in adolescents typically affect myopic eyes with crowded discs and resolve spontaneously with excellent visual outcomes.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pediatric Ophthalmology
Background:
- Multilayered optic disc hemorrhages are a specific type of retinal hemorrhage.
- Understanding their characteristics in adolescents is crucial for diagnosis and management.
Purpose of the Study:
- To delineate the clinical features of multilayered optic disc hemorrhages in adolescent patients.
- To identify associated ocular and disc anomalies.
Main Methods:
- Retrospective analysis of adolescent cases with multilayered optic disc hemorrhages (1994-2012).
- Detailed recording of hemorrhage characteristics and disc anatomy.
- Utilized spectral-domain optical coherence tomography (SD-OCT) and other imaging in select cases.
Main Results:
- The study included 16 adolescents (9 boys, 7 girls) with a mean age of 15 years.
- All affected eyes were myopic, with crowded and tilted optic discs being common (93.75%).
- Hemorrhages resolved spontaneously, with excellent visual outcomes reported.
Conclusions:
- Multilayered optic disc hemorrhages in adolescents are frequently associated with myopia and specific optic disc morphologies.
- These hemorrhages generally have a benign prognosis with spontaneous resolution and good visual recovery.
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