Flame-Shaped Hemorrhage: Causes & Reasons

Possible Causes for Flame-Shaped Hemorrhage

Funduscopic examination shows arteriolar constriction, arteriovenous nicking, vascular wall changes, flame-shaped hemorrhages, cotton-wool spots, yellow hard exudates, and [msdmanuals.com]

Chronic HTN : Arteriovenous crossing changes (“AV nicking”), retinal arteriolar sclerosis (“copper” or “silver” wiring), cotton-wool spots, flame-shaped hemorrhages, arterial [medium.com]

Pathophysiology Retinal hemorrhages (Figure 1-3) develop when necrotic vessels bleed into either the nerve fiber layer (flame shaped hemorrhage) or the inner retina (dot blot [eyewiki.aao.org]

Hypertensive Retinopathy

Funduscopic examination shows arteriolar constriction, arteriovenous nicking, vascular wall changes, flame-shaped hemorrhages, cotton-wool spots, yellow hard exudates, and [merckmanuals.com]

If acute disease is severe, the following can develop: Superficial flame-shaped hemorrhages Small, white, superficial foci of retinal ischemia (cotton-wool spots) Yellow hard [merckmanuals.com]

Hypertensive crisis can cause retinopathy with superficial flame-shaped hemorrhages; small, white, superficial foci of retinal ischemia (cotton-wool spots); yellow hard exudates [merckmanuals.com]

Malignant Hypertension

Malignant hypertension is the clinical syndrome of severe elevations in blood pressure and funduscopic hypertensive retinopathy, including bilateral flame-shaped hemorrhage [ncbi.nlm.nih.gov]

It is defined clinically as high blood pressure (BP) levels associated with lesions of the retinal fundus (flame-shaped hemorrhages, exudates, or cotton wool spots, with or [ncbi.nlm.nih.gov]

Flame-shaped retinal hemorrhages, an early finding, are due to smooth muscle necrosis and bleeding along the nerve fiber layer. [ncbi.nlm.nih.gov]

Central Retinal Vein Occlusion

Fundus examination of the RE revealed whitening of the retina along the distribution of cilioretinal artery, sparing fovea, flame-shaped hemorrhages, and roth spots with minimally [ncbi.nlm.nih.gov]

[…] systemic hypertension, diabetes, arteriosclerosis, hypercoagulable states Patient reports acute or subacute monocular vision loss, sometimes with flickering ("scintillations") Flame-shaped [kellogg.umich.edu]

None of the examined eyes had flame-shaped retinal hemorrhages in the periphery. All hemorrhages were rounded-dot or blot and were variable in size. [ncbi.nlm.nih.gov]

Subarachnoid Hemorrhage

RESUMEN El vasoespasmo cerebral es la principal causa potencialmente tratable de mortalidad e incapacidad en pacientes que sufren hemorragia subaracnoidea aneurismática (HSA). Sin embargo, a la fecha no existe un tratamiento eficaz para el mismo. La reciente demostración de la falta de respuesta clínica a la[…] [pesquisa.bvsalud.org]

Pheochromocytoma

Pheochromocytoma/Paraganglioma NORD gratefully acknowledges Cole Carpenter and Brett Cordell, NORD Editorial Interns from the University of Notre Dame, Kasturi Haldar, PhD, Director, Boler-Parseghian Center for Rare and Neglected Diseases, University of Notre Dame, and Lauren Fishbein, MD, PhD, MTR, Associate[…] [rarediseases.org]

Arteriosclerotic Retinopathy

Funduscopic examination shows arteriolar constriction, arteriovenous nicking, vascular wall changes, flame-shaped hemorrhages, cotton-wool spots, yellow hard exudates, and [msdmanuals.com]

Certain retinopathies have classic signs (for example, peculiar fan shapes in sickle cell, dot and blot hemorrhages in diabetes, flame-shaped hemorrhages in high blood pressure [encyclopedia.com]

Hypertensive Encephalopathy

Note the flame-shaped hemorrhages, soft exudates, and early disc blurring. [emedicine.medscape.com]

Fundoscopic appearance of grade IV hypertensive retinopathy, with papilloedema (1), arteriovenous nipping (2), flame-shaped hemorrhages (3), and soft (4) and hard (5) exudates [circ.ahajournals.org]

Although papilledema is usually considered a more severe finding, it actually does not confer worse survival than hemorrhages and exudates alone. [8] Papilledema. [emedicine.medscape.com]

Retinal Hemorrhage

hemorrhages because they're deeper than flame-shaped hemorrhages. [optometricmanagement.com]

Flame-shaped retinal hemorrhages occurred in five eyes of four patients within 24 hours of surgery. [ncbi.nlm.nih.gov]

Flame-shape hemorrhages = “Feathered” or linear retina heme Location: within nerve fiber layer (resolve around six weeks) Possible etiologies: Hypertensive retinopathy Retinal [optometrystudents.com]

Retinal Phlebitis

- dilated and tortuous retinal veins, dot & blot as well as flame shaped hemorrhages, exudates, cotton wool spots, retinal and macular edema, and disc edema - in extreme [sites.google.com]

Ophthalmoscopically, there are dilated and tortuous retinal veins, dot & blot as well as flame shaped hemorrhages, exudates, cotton wool spots, retinal and macular edema, [medicalstudy.blogspot.com]

Flame-shaped hemorrhages were seen surrounding vessels in superotemporal quadrant [Figure 2]. The right eye fundus was unremarkable. [ojoonline.org]

NDP-Related Retinopathies

Small swellings known as micro-aneurysms or flame-shaped hemorrhages start to develop in the fundus quadrants Moderate NPDR There will be micro-aneurysms or hemorrhages of [ncbi.nlm.nih.gov]

Branch Retinal Vein Occlusion

Ophthalmologic examination disclosed bilateral conjunctival injection, flame-shaped hemorrhage in her right fundus, and scattered hemorrhage in her left fundus. [ncbi.nlm.nih.gov]

Predominant hemorrhagic patterns were flame-shaped in 39 (67.2%) and non-flame-shaped in 19 (32.8%) eyes. [ncbi.nlm.nih.gov]

Papilledema There will be bilateral disc swelling with flame-shaped hemorrhages around the disc, but not into the peripheral retina. [decisionmakerplus.net]

Senior-Løken Syndrome Type 1

The results of a fundus examination were consistent with retinitis pigmentosa (mid-peripheral retinal pigmentation and attenuated vessels), but bilateral flame-shaped retinal [jamanetwork.com]

hemorrhages were also observed (Figure). [jamanetwork.com]

Senior-Løken Syndrome Type 3

The results of a fundus examination were consistent with retinitis pigmentosa (mid-peripheral retinal pigmentation and attenuated vessels), but bilateral flame-shaped retinal [jamanetwork.com]

hemorrhages were also observed (Figure). [jamanetwork.com]

Papilledema

Papilledema with blurring of disc margins, disc hyperemia, and peripapillary flame shaped hemorrhages. Figure 4. Courtesy of Mr. David B. Bennett, CRA. [antimicrobe.org]

Bilateral moderate optic disc edema with flame-shaped hemorrhages was observed. [ncbi.nlm.nih.gov]

Papilledema with peripapillary flame shaped hemorrhages. Note the circumferential retinal folds also known as Paton’s lines. Figure 5. Courtesy of Mr. David B. [antimicrobe.org]

Cortés-Lacassie Syndrome

On ophthalmologic examination, indirect ophthalmoscopy revealed extensive areas of flame-shaped hemorrhage, cotton wool spots, macular edema and optic nerve head neovascularization [search.bvsalud.org]

Article in English | LILACS | ID: lil-735808 ABSTRACT We describe the case of a 23-month-old female infant with a diagnosis of hemolytic uremic syndrome (HUS) and hemorrhagic [search.bvsalud.org]

Eye Injury

Subconjunctival Hemorrhage. This is a flame-shaped bruise of the white part (sclera) of the eyeball. It's bright red. It's caused by a scratch to the sclera. [stlouischildrens.org]

Diabetic Retinopathy

In hypertensive patients, superficial flame-shaped hemorrhages may also occur. Hard exudates: These are characteristic of diabetic retinopathy. [symptoma.com]

[…] similar to microaneurysms if they are small; they occur as microaneurysms rupture in the deeper layers of the retina, such as the inner nuclear and outer plexiform layers Flame-shaped [emedicine.com]

Hemorrhages: They characteristically occur in the deeper layers of the retina, are round and regular in shape, and are called 'blot' hemorrhages. [symptoma.com]

Pulmonary Arteriosclerosis

The signs of optic neuropathy include flame shaped hemorrhages at the disc margin, blurred disc margins, congested retinal veins, papilledema, and secondary macular exudates [eyewiki.aao.org]

Common hypertensive retinal changes are flame-shaped hemorrhages in the superficial layers of the retina and cotton-wool patches caused by occlusion of the precapillary arterioles [eyewiki.aao.org]

Pseudopapilledema

shaped hemorrhages, cotton wool spots, +/- Paton’s linesSVP absent Vasculature Anomalous branching pattern Microvascular dilation Funduscopic Evaluation Although no set protocols [reviewofoptometry.com]

[…] nausea/vomiting, peripheral neuralgias Optic Nerve Appearance Elevation confined to disc, SVP present Elevated swollen nerve, hyperemia, peripapillary vessel obscuration +/- flame [reviewofoptometry.com]

Normal-Tension Glaucoma

Disc Hemorrhages  Flame or splinter shaped, often with feathered ends, and is radially oriented and perpendicular to the disc margin  Extends from within the optic nerve [slideshare.net]

Characteristically, the following features may be more frequently seen in NTG compared to POAG: Flame shaped hemorrhages of the optic nerve rim (Drance hemorrhage) (see figure [eyewiki.aao.org]

While thinning of the optic nerve rim is observed in all POAG, focal thinning or ‘notching’ is more commonly observed in NTG.[24] Classically, the presence of small flame [eyewiki.aao.org]

Radiation Retinopathy

Dot-blot hemorrhages, flame shaped hemorrhages and sub-RPE hemorrhage. No hard exudate or neovascularization. [atlasophthalmology.net]

flame shaped hemorrhages inferotemporal arcade with in the OS ( Figure 2b ). [omicsonline.org]

Figure 2: The colour fundus photographs show circinate hard exudates (right eye) and flame shaped hemorrhages (left eye). [omicsonline.org]

Peripheral Vasoproliferative Retinopathy

They may be seen throughout the fundus as flame-shaped, punctuate dot- or larger blot hemorrhages with irregular margins. [institut-vision.org]

hemorrhages: Splinter hemorrhages that occur in the more superficial nerve fiber layer Retinal edema and hard exudates: Caused by the breakdown of the blood-retina barrier [emedicine.medscape.com]

Secondary Optic Atrophy

Sectoral disc edema with flame-shaped hemorrhages (anterior ischemic optic neuropathy), lumps and bumps (optic disc drusen), pathologic cupping (glaucoma), sectoral optic [medtextfree.wordpress.com]

Flame-shaped hemorrhages and 'cotton-wool' spots around the disc. [thamburaj.com]

Vitreous Abscess

There were multiple flame shaped hemorrhages on the inferior arcade and the inferotemporal retina was pale and elevated. [evrs.eu]

dot, or blot hemorrhages. [hivinsite.ucsf.edu]

(25-27) and in approximately 3% of patients with mildly symptomatic HIV disease.(20) They may involve both the nerve fiber layer and the deeper retina and may appear as flame-shaped [hivinsite.ucsf.edu]

Subperiosteal Hemorrhage

Funduscopic changes include flame-shaped hemorrhages, and cotton-wool spots may be seen. [emedicine.medscape.com]

Nervous system Ocular features include those of Sjögren syndrome, subconjunctival hemorrhage, and bleeding within the optic nerve sheath. [emedicine.medscape.com]

Hyperviscosity Syndrome

Funduscopic examination reveals dilation of retinal veins and flame shaped retinal hemorrhages. [mayomedicallaboratories.com]

[…] hyperviscosity in macroglobulinemia produces a pattern of retinal changes including: increased diameter and "string of sausages" appearance of the retinal veins; dot, blot, and flame-shaped [healio.com]

Common exam findings include bilateral retinal vein engorgement, lipid exudates, central and branch retinal vein thrombosis, and flame-shaped hemorrhages, which typically [webeye.ophth.uiowa.edu]

Infantile Scurvy

Funduscopic changes include flame-shaped hemorrhages, and cotton-wool spots may be seen. [emedicine.medscape.com]

Funduscopic changes include cotton flame-shaped hemorrhages, and cotton-wool spots may be seen. [flipper.diff.org]

Nervous system Ocular features include those of Sjögren syndrome, subconjunctival hemorrhage, and bleeding within the optic nerve sheath. [emedicine.medscape.com]

Retinohepatoendocrinologic Syndrome

 The major ophthalmic feature of the condition is hypertensive retinopathy with: flame-shaped hemorrhages.  cotton-wool spots.  narrowed arteries. [slideshare.net]

Trochlear Nerve Paralysis

[…] familial hyperproinsulinemia 家族性高プロインスリン血症 familial hypertriglyceridemia 家族性IV型高脂血症 familial hypertriglyceridemia 家族性高トリグリセリド血症 familial hypertriglyceridemia 家族性高中性脂肪血症 flame-shaped [jds.or.jp]

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