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

We describe progressive optic neuropathy after recurrent disc hemorrhages in patients with primary angle-closure glaucoma. Three Taiwanese Chinese patients with primary angle-closure glaucoma and recurrent disc hemorrhages were followed for 10 years. 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. Disc hemorrhages are not particularly rare in primary angle-closure glaucoma and may be a sign of a poor prognosis.