TITLE

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

AUTHOR(S)
Choudhari, Nikhil S.; Neog, Aditya; Fudnawala, Vimal; George, Ronnie
PUB. DATE
November 2011
SOURCE
Indian Journal of Ophthalmology;Nov2011, Vol. 59 Issue 6, p491
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
We present a series of six patients who had been receiving treatment for normal tension glaucoma (NTG; fi ve 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 diff erential 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.
ACCESSION #
67520118

 

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