Anyone here an Opthalmologist

[Lemmonie]

If so, any idea what might cause a flame haemorrhage in the optic nerve of a health 37 year old with no medical problems?

[HelenT]

I am an optometrist and if I saw a flame shaped haemorrhage at the optic disc (the visible part of the optic nerve when you are looking into the eye), glaucoma would be my initial concern

[CragGriff500]

The causes can be many ranging from idiopathic, glaucoma (types with both normal pressure and raised pressure in the eye), high blood pressure, posterior vitreous detachments, vascular occlusive diseases of the retina, non-arteritic anterior ischaemic optic neuropathies, other non-glaucomatous optic neuropathies, optic disc drusen, diabetes and several other conditions. If the haemorrhage is actually adjacent to the disc margin then the list of causes increases and can include other things such as bleeding secondary to myopia or angioid streak associated CNVM. The most important thing is to be assessed by an Ophthalmologist, have your optic nerves looked at for signs of glaucoma, have imaging tests, a proper history and systemic examination performed, your intraocular pressure checked along with visual field testing. Was it picked up incidentally and by whom?

[Lemmonie]

It was picked up by me. I went out one evening, came home and went to bed then an hour or so later experienced what I thought was a migraine. It felt particularly bad but I assumed this was down to my drinking. I had sever eye/head pain, vomited felt rough as. Took an imigran injection and crashed out. Woke up the next morning with a large black spot in my vision in right eye (where pain was felt)
Called 111, they said a&e within the hour. Got down there was eventually (3hours later) seen and doc did nothing more than shine a light in my eye and said it was an aura. I told him it was a bleed but he wasn't having it and made an eye appt for me two days later.
I wasn't happy as I could tell it was a bleed by the way it was starting to disapate so booked in with an optician who dilated my eyes and diagnosed the haemorrhage.
I've now seen the hospital again and had a thorough exam and a scan of the eye. Looks like early onset normal tension glaucoma he said but needs to more tests in three weeks time but isn't ruling anything out.

[Lemmonie]

To add I had to see go too and they have ruled out anything systemic such as diabetes, high blood pressure, thyroid, cholesterol etc as I had bloods done recently.

Eye doc said it was localised. He said tons of other stuff that I didn't really understand