Dr. Austin R. Lifferth, a practicing optometrist and a glaucoma expert, begins by explaining that sometimes clinically, it is more important to look for the minor signs when assessing for glaucoma. He shows us how the glaucoma expert and a trainee are different when evaluating the optic disc.

We learn about the scientific evidence that suggests that practitioners most commonly miss disc hemorrhages.

Dr. Lifferth covers the following aspects of the disc hemorrhages in detail

1. Appearance 
2. Differential for disc hemorrhages 
3. Stages 
4. Duration 
5. Detection 
   1. How to improve detection rate for disc hemorrhages 
6. Normal vs Ocular Hypertension 
7. Ocular Hypertension and Implications 
8. Low tension glaucoma vs High tension glaucoma 
9. Effect of Treatment
   1. Medication 
   2. Trabeculectomy 
10. Associated pressurs on the Optic Nerve 
    1. Vascular Theory 
    2. Neuro-vascular Theory
    3. Mechanical Theory 
11. Progression 
12. Clinical significance 

Dr. Lifferth summarized the talk by stressing the importance of optic disc assessment and looking for disc hemorrhages. The discussion ends with a question and answers session with the live audience.

References

Papers

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Resources

World Glaucoma Association – 10^th Consensus Meeting: Diagnosis of Primary Open Angle Glaucoma

https://wga.one/wga/consensus-10/