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Article
June 1984

Cross-Polarization Photography of the Nerve Fiber Layer

Author Affiliations

From the Dana Center for Preventive Ophthalmology (Dr Sommer and Ms Arkell) and the Glaucoma Service, The Wilmer Ophthalmological Institute (Drs Sommer, Robin, and Quigley and Mr D'Anna), The Johns Hopkins Medical Institutions, Baltimore, and The Johns Hopkins Applied Physics Laboratory, Laurel, Md (Mr Kues).

Arch Ophthalmol. 1984;102(6):864-869. doi:10.1001/archopht.1984.01040030684019
Abstract

• Cross-polarized photography was used to enhance the visibility of the arcuate bundles of the retinal nerve fiber layer (NFL). A fundus camera (Zeiss) was modified to accept a linear polarizing filter in front of the flash and another polarizing filter in front of the film plane. The azimuths of the two filters were kept at right angles to one another. Cross-polarized photographs were taken of the NFL of seven normal eyes and 18 eyes with ocular hypertension. The polarizers were rotated together to obtain four different orientations, equally spaced through 90°. The manner in which visibility of the arcuate fibers was enhanced varied consistently with the orientation of the polarizing filters. Cross-polarization accentuated apparent defects in the NFL when compared with standard red-free illumination.

References
1.
Hoyt WF, Schlicke B, Eckelhoff RJ:  Funduscopic appearance of a nerve-fibre-bundle defect . Br J Ophthalmol 1972;56:577-583.Article
2.
Frisen L, Hoyt WF:  Insidious atrophy of retinal nerve fibers in multiple sclerosis: Funduscopic identification in patients with and without visual complaints . Arch Ophthalmol 1974; 92:91-97.Article
3.
Levin PS, Newman SA, Quigley HA, et al:  A clinicopathologic study of optic neuropathies associated with intracranial mass lesions with quantification of remaining axons . Am J Ophthalmol 1983;95:295-306.
4.
Hoyt WF, Newman NM:  The earliest observable defect in glaucoma? Lancet 1972; 1:692-693.Article
5.
Hoyt WF, Frisen L, Newman NM:  Funduscopy of nerve fiber layer defects in glaucoma . Invest Ophthalmol Vis Sci 1973;12:814-829.
6.
Sommer A, Miller NR, Pollack I, et al:  The nerve fiber layer in the diagnosis of glaucoma . Arch Ophthalmol 1977;95:2149-2156.Article
7.
Quigley HA, Miller NR, George T:  Clinical evaluation of nerve fiber layer atrophy as an indicator of glaucomatous optic nerve damage . Arch Ophthalmol 1980;98:1564-1571.Article
8.
Delori FC, Gragoudas ES, Francisco R, et al:  Monochromatic ophthalmoscopy and fundus photography: The normal fundus . Arch Ophthalmol 1977;95:861-868.Article
9.
Miller NR, George TW:  Monochromatic (red-free) photography and ophthalmoscopy of the peripapillary retinal nerve fiber layer . Invest Ophthalmol Vis Sci 1978;17:1121-1124.
10.
Sommer A, D'Anna SA, Kues HA, et al:  High-resolution photography of the retinal nerve fiber layer . Am J Ophthalmol 1983;96:535-539.
11.
Cope WT, Wolbarsht ML, Yamanashi BS:  The corneal polarization cross . J Opt Soc Am 1978;68:1139-1141.Article
12.
Hochheimer BF, Kues HA:  Retinal polarization effects . Appl Optics 1982;21:3811-3818.Article
13.
Quigley HA, Green WR:  The histology of human glaucoma cupping and optic nerve damage: Clinicopathologic correlation in 21 eyes . Ophthalmology 1979;86:1803-1827.Article
14.
Quigley HA, Addicks EM, Green WR:  Optic nerve damage in human glaucoma: III. Quantitative correlation of nerve fiber loss and visual field defect in glaucoma, ischemic neuropathy, papilledema, and toxic neuropathy . Arch Ophthalmol 1982;100:135-146.Article
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