OPTIC DISC HEMORRHAGA CASE STUDIES

Patient Profile
AGE

69 years old

Gender

Female

Last
Eye Exam

Two years ago

Current
Rx

OD 20/20 OS 20/20

Medical
History

Personal ocular history was unremarkable. She is currently taking medication for thyroid disease, hypertension, hypercholesteremia, GERD, and seizures

Chief
Complaint

Slight near blur, dryness, redness, and foreign body sensation OU.

Uncorrected
Visual Distance

Vision with current spectacles was 20/20 OD and OS at distance and 20/20 OSD and OS at near. The patient has hyperopia and presbyopia OU, and low astigmatism OD.

EXAM PROTOCOL

Slit lamp exam was significant for pingueculae OU, palpebral conjunctiva papillae OU, arcus OU, and nuclear sclerosis. Pupil testing was normal. The patient's screening visual fields had areas of central depression and enlarged blind spots. Intraocular pressure was not measured. Upon fundus examination, a optic discovered at 7 o'clock OD. The C/D ratios were approximately 0.3 OU. Drusen was found in the macula OU, and retinal vessels exhibited some attenuation and tortuosity.

CONCLUSION

Due to the optic disc hemorrhage in the right eye, the abnormal screening visual fields for both eyes, and the lack of an intraocular pressure readings, the patients prescription was put on hold and she was referred to see an ophthalmologist for further evaluation.

PHOTOS

Optic Nerve Hemorrhage, Blood Vessel Attenuation and Tortuosity

EXAM EQUIPMENT
  • Topcon NW 400 Non-Mydriatic Retinal Camera
  • Oculus Easyfield C
  • Marco Ion Anterior Segment Slit Lamp Camera
  • Topcon SL-D2 Slit Lamp
  • 2020Now Eyelogic X2 Refraction System
  • Canon Tx-20 Auto tonometer
  • Topcon KR-1 Auto Tonometer and AutoKeratometer.