Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis

Autor: Nikhil S Choudhari, Aditya Neog, Vimal Fudnawala, Ronnie George
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Myopia
prethreshold retinopathy of prematurity
retinopathy of prematurity
Retinopathy of prematurity
screening
survey
Anthrax
community-acquired methicillin-resistant Staphyloccus aureus
orbital cellulitis
preseptal cellulitis
Intrastromal corneal ring segments
keraring
post-LASIK ectasia
Blebitis
bleb leak
microbiology
ocular surface diseases
risk factors
Early glaucoma
retinal nerve fiber layer thickness
spectral optical coherence tomography / scanning laser ophthalmoscope
Blowout
diplopia
prism
strabismus
Ocular trauma
open globe injury
preoperative visual acuity
prognostic factors
relative afferent pupillary defect
Anterior chamber depth
axial length
lens thickness
phacomorphic glaucoma
risk factor
Refractive errors
Schoolgirls
visual impairments
Cataract
intraocular lens
monovision
presbyopia
pseudophakic
Accommodative esotropia
atropine
cycloplegia
esotropia
Optic disc cupping
optic disc pallor
suprasellar tumor
glaucoma
neuroimaging
Ophthalmology
RE1-994
Zdroj: Indian Journal of Ophthalmology, Vol 59, Iss 6, Pp 491-497 (2011)
Druh dokumentu: article
ISSN: 0301-4738
1998-3689
DOI: 10.4103/0301-4738.86320
Popis: We present a series of six patients who had been receiving treatment for normal tension glaucoma (NTG; five patients) or primary open angle glaucoma (one patient). All of them were found to have optic neuropathy secondary to compression of the anterior visual pathway. Even though uncommon, compression of the anterior visual pathway is an important differential diagnosis of NTG. Diagnosis of NTG should be by exclusion. Here the possible causes of misdiagnosis are discussed. We present an approach to distinguish glaucomatous from nonglaucomatous optic neuropathy. The article also emphasizes how important it is for the clinicians to consider the total clinical picture, and not merely the optic disc morphology, to avoid the mismanagement of glaucoma, especially the NTG.
Databáze: Directory of Open Access Journals