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"Those who are willing to make a modest effort... will be rewarded by acquiring an important new skill for glaucoma diagnosis," begins this well-written, superbly illustrated, stepwise course in nerve fiber examination. This short (178-page) booklet is essential reading for anyone who desires to acquire this skill.
The booklet starts with an introductory chapter to bring all readers up to speed regarding the anatomy and appearance of the nerve fiber layer. Photographic examples of the changes in the nerve fiber layer caused by glaucoma are then shown. A grading system is presented and illustrated. A test set of 100 photographs is then provided along with the correct answers, so that the reader can refine the skills required in the clinical setting. This section, which allows the reader to practice and to gain confidence, provides the heart of the booklet and makes it a hands-on course in nerve fiber layer examination.
Perkins TW. Diagnosing Early Glaucoma With Nerve Fiber Layer Examination. Arch Ophthalmol. 1997;115(10):1346-1347. doi:10.1001/archopht.1997.01100160516036