Is the glaucomatous optic neuropathy getting worse/progressing?
The appearance of any of the features of a glaucomatous ONH, or the exacerbation of these features compared to a previous record, is indicative of a progression/worsening of the disease. Disc haemorrhages may be present for two weeks to three months and are an important prognostic sign of progression. An accurate record requires careful observation and a detailed drawing, at the very least. Photographic documentation (preferably stereophotography) is highly recommended. Other imaging devices offer progression analyses, but these are not a surrogate for a detailed clinical examination. Progressive worsening of the visual fields should correlate with structural changes at the ONH.
