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Article
August 1979

Optic Disc Parameters and Onset of Glaucomatous Field LossI. Methods and Progressive Changes in Disc Morphology

Author Affiliations

From the Wilmer Institute, Johns Hopkins Hospital, Baltimore (Drs Sommer, Pollack, and Maumenee), and Helen Keller International, New York (Dr Sommer).

Arch Ophthalmol. 1979;97(8):1444-1448. doi:10.1001/archopht.1979.01020020106002
Abstract

• Serial stereoscopic fundus photographs taken in known relationship to the onset of glaucomatous visual field loss on 12 eyes were intermixed with those from 206 age- and race-matched controls and analyzed in randomized masked fashion. Progressive changes in the size, shape, or contour of the disc, and a newly described parameter, thickness of the nerve fiber layer as it crosses the disc rim, were readily apparent by the time of onset of glaucomatous field loss in all but two abnormal eyes (one case). In the latter instance, direct comparison of stereophotos indicated progressive pallor of the remaining disc tissue. Serial stereophotographs appear superior to fundus drawings for anticipating glaucomatous field loss.

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