How to Evaluate the Suspicious Optic Disc - Review of …
WEBJun 15, 2005 · Since glaucomatous discs tend to present with thinning and/or notching of the inferior and/or superior disc rims, they will not follow the ISNT rule. A suspicious optic disc in a patient with normal IOP readings and normal automated perimetry (white-on …
Optic disc hemorrhage: Don’t miss the signal - EyeWorld
WEBOptic disc hemorrhage is a common clinical feature of glaucoma, indicating active disease with likely progression and visual field loss. These small bleedings form notch-like lesions at the edge of the optic disc in the nerve fiber layer and often correlate with visual field loss.
Pearls for Correct Assessment of Optic Disc at Glaucoma Diagnosis
WEBNov 1, 2017 · Focal RNFL defect is usually associated with a notch at the disc, or with a current or prior ONHH that developed 6–8 weeks earlier. 1–6,12,31–33 RNFL defects generally precede glaucomatous disc changes and VF loss.
Disc Hemorrhages in Eyes With Glaucoma
WEBMay 1, 2014 · What Is a Disc Hemorrhage? A typical DH in an eye with glaucoma appears as a splinter-like or flame-shaped area of bleeding, usually with feathered ends and oriented perpendicular to the disc margin (Fig. 1). The most common location of DH is at the temporal aspect of the disc.
Monitor or Medicate? - Review of Optometry
WEBApr 19, 2011 · A disc hemorrhage is defined as a hemorrhage within one disc diameter of the optic nerve. Not every patient with glaucoma presents with each of these signs, but close examination of the optic nerve generally reveals some …
Optic Disc Notch and Retinal Nerve Fiber Layer Defect in …
WEBThe optic nerve shows moderate cupping but there is a prominent inferior notch. The normal sheen of the nerve fiber layer is absent in a distribution radiating temporally from this notch due to cellular loss.
Clinical Optic Disc Evaluation in Glaucoma
WEBMay 3, 2012 · Loss of neuroretinal rim tissue should be examined carefully for both diffuse and focal loss, which may be evident as thinning, notching and nasal cupping. Kinking of the blood vessels within the ONH helps to identify the margin of the rim tissue. In myopic eyes or those with shallow cupping it can be …
How to Handle Normal-tension Glaucoma - Review of …
WEBNov 10, 2021 · Inferior optic disc rim notching in an eye with normal-tension glaucoma. For the most part, “we treat NTG the same as primary open-angle glaucoma,” explains Dr. Seibold. “We’re just starting from a normal pressure and getting to an even lower pressure.”
What Happens to the Optic Disc and Retina in Glaucoma?
WEBIn glaucoma, there is a spectrum of disc damage ranging from highly localized tissue loss (a notch in the neuroretinal rim), vertically oval cupping, or simple concentric enlargement of the cup.
Glaucoma: Diagnosis and Management - AAFP
WEBGlaucoma is a group of eye disorders characterized by progressive deterioration of the optic nerve head and retinal nerve fiber layer (i.e., the portion of the optic nerve that runs through the...
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