April 1982

Ophthalmoscopy of the Retinal Nerve Fiber LayerUse in Detection of Neurologic Disease

Author Affiliations

From the Neuro-ophthalmology Division, Pacific Medical Center, San Francisco (Dr Newman); University of California at San Diego (Dr Tornambe); and the Department of Neurology, University of Iowa College of Medicine, Iowa City (Dr Corbett).

Arch Neurol. 1982;39(4):226-233. doi:10.1001/archneur.1982.00510160032006

• Ophthalmoscopic examination of the retinal nerve fiber layer may demonstrate changes associated with a variety of diseases. These alterations are of four general types: slit or rake defects, sector atrophy, diffuse atrophy, and density changes in the nerve fibers themselves. With practice and the use of a bright source of "red-free" light, recognition of these alterations provides a bedside tool for evaluation of the anterior visual pathways.