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Article
June 1997

Detection of Glaucomatous Optic Disc Hemorrhages by Confocal Scanning Laser Tomography

Author Affiliations

Erlangen, Germany

Arch Ophthalmol. 1997;115(6):800-801. doi:10.1001/archopht.1997.01100150802020
Abstract

Flame-shaped or splinterlike hemorrhages of the optic disc are part of the panoply of morphological changes characterizing glaucomatous optic nerve damage. With relatively high specificity, disc hemorrhages indicate the presence and progression of glaucoma.1-3 This study was performed to evaluate whether optic disc hemorrhages as seen clinically on optic disc photographs can be detected on optic disc images obtained by confocal scanning laser tomography. This is a new method for the semiautomatic, 3-dimensional measurement of optic disc structures.4,5 For confocal scanning laser tomography, we used the Heidelberg retina tomograph (HRT).

PATIENTS AND METHODS  The study included 15 eyes of 13 white patients with primary openangle glaucoma. On clinical optic disc photographs, all eyes showed 1 optic disc hemorrhage; 1 eye had 2 disc hemorrhages. The mean (±SD) age of the 12 women and 1 man was 53.3±9.48 years (range, 38-69 years), and the mean (±SD) refractive error was

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