Case #26 Glaucomatous Cupping


History

A 58 year old white female presents for routine evaluation.

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Question #1

Would a family history be pertinent in evaluating this patient?

Question #2

What features about the visual field make one feel that this is not a neurologic process?

Question #3

Are these visual fields and optic nerve changes consistant with an intraocular pressure of 18 mmHg?

Question #4

Assuming that these changes in the optic nerve and visual field are progressive, what therapy could be instituted?

Question #5

In early glaucoma is the cup more likely to enlarge vertically or horizontally?

References

Shields, MB: Textbook of Glaucoma, Baltimore: Williams and Wilkins, 1987: 148, 106-111, 145, 155-157, 87-91.

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last updated: 10/10/2011