Progression of optic neuropathy after disc hemorrhage in primary angle-closure glaucoma.

Background: We describe progressive optic neuropathy after recurrent disc hemorrhages in patients with primary angle-closure glaucoma.

Methods: Three Taiwanese Chinese patients with primary angle-closure glaucoma and recurrent disc hemorrhages were followed for 10 years. Methods: Despite good control of intraocular pressure, progressive enlargement of optic disc cupping and visual field defects corresponding to the location of disc hemorrhages were noted after recurrent hemorrhages.

Conclusions: Disc hemorrhages are not particularly rare in primary angle-closure glaucoma and may be a sign of a poor prognosis.