The authors conducted this study to describe the clinical characteristics of multi-layered optic disc haemorrhages in adolescents. This was a retrospective review of 16 eyes (11 right and five left) of 16 patients with a mean age of 15 ±2.6 years. The main presenting symptoms were acute floaters or blurring. There were no precipitating causes or history. All were myopic. The average retinoscopy was -4.64 ±1.88D. Vitreous haemorrhages were noted in all eyes. Two eyes had subtle bleeding before the disc, five eyes with blood clots in the inferior prepapillary subhyaloid space and nine eyes with blood extending to the premacular area. Peripapillary subretinal haemorrhages and superficial flame haemorrhages were noted. Fifteen discs were crowded and tilted with small or absent cups. This was also the case for the fellow eyes. All haemorrhages resolved without aggressive treatment after one to three months. Multi-layered haemorrhages are relatively uncommon and most commonly affect myopic eyes with crowded and tiled discs. Visual outcome is usually excellent.

Multi-layered optic disc haemorrhages in adolescents.
Hwang JF, Liu C-J.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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