OPTIC NERVE WORKSHOP
NEW HAMSPHIRE VAMC
Peter Lalle, OD
WHICH EYE IS BLIND ?
Further RNFL thinning was not observed in glaucomatous
eyes in which at least one-third (-10dB MD) of the visual field
had been lost.
The OCT progression analyses generated
a relatively high proportion of false positives.
Using OCT for glaucoma follow-up may not be
entirely straightforward.
ACTA May 2021 99(3)
PLEASE PAY ATTENTION.
THESE ARE YOUR PEERS’
ANSWERS
.
Bare rim superior
No rim inferior
d7147
dc7503
Which optic nerve is suspicious for glaucoma:
A or B
or BOTH ?
A
B
Dc 7503
d7147
TRUE
MAG
of FIRST
EXAMPLE
EGS 2013
RIM AREA SAME ALL THREE
4. MEASURE CUP AS WELL AND THEN COMPUTE RATIO
GOOGLE THIS
DEPENDING ON LENS USED, MEASUREMENTS VARY. THEREFORE, BE CONSISTENT
VH = 2.5
VH = 1.6
AS MEASURED
WITH VOLK
60 DIOP LENS
USING PLANIMETRY, RANGE OF DISC AREA (NOT DIAMETER) RANGES 0.8mm2 TO 6.0 mm2 (~8 FOLD)
“IT’S THE RIM, STUPID !”
(NOT THE CUP)
Baring of Circumlinear Vessels
Nasalization without
Nasal Cupping
NFL visible
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SUGGESTED APPROACH FOR ON EVALUATION
BARING OF CIRCUMLINEAR, NASAL CUPPING, BAYONETTING, NASALIZATION *
7. IDENTIFY NFL DEFECTS/DIFFUSE LOSS
Ct 1082 os
2
Ct 108296247 os VB vs collapse rim inf temp
3
CT 1082
4
CT 1082
5
DC 7503 OD
6
DC 7503 OD
7
DC 7503 OS
8
DC 7503 OS
9
DD 2206 OD
10
DD 2206 OD
11
DD 2206 OD INFILTRATIVE PAPILLEDEMA
12
DR0619 OD
13
DR0619 OD BLURRED MARGIN ANOM VESSELS, NFL SHIFT
14
DR3375 OD NO BC VB
15
DR3375 OD NO BC VB
16
DR 3375 OS VB NO BCL HV
17
DR 3375 OS VB NO BCL HV
18
DR 6549 OD COMPARE TO DT 5362
19
DR 6549 OD SD, BC, VB, BLONDE, COMPARE TO DT 5362
20
DT5362 OD; COMPARE TO DR6549 DISC SIZE
21
DT5362 OD BD c BC VESSEL LOOP; CILIORETINAL; COMPARE TO DR6549 DISC SIZE
22
Disc size difference between DR6549 and DT5362
Same mag
23
F1215J OS
24
F1215J OS PPA BY NC HV BCL
25
F1768 OD
26
F1768 OD NO c VB NFL WEDGE
27
F1768M OS CL HEAP c NFL SHIFT
28
F1768M OS
29
F4540 A OS
30
F4540 A OS BLONDE PPA SMALL TILTED
31
F4540 OS
33
F4540 OS THIN RIM IT VB xISNT
34
F4540 A, OD
35
F4540 A, OD THIN RIM VB SCLERAL RING
36
FC2245 OS COLOR NOT EQUAL CUP VB
37
FC2245 OS
38
FR1708 OD VB NO BC SCLERAL RING
39
FR1708 OD
40
FR 1708 OS
41
FR 1708 OS AMD w SRF, LARGE DRUSEN
42
FR 1708
43
FR 1708 BLONDE VB NO SCLERAL RING
44
Jj 8167 OD
45
Jj 8167 OD VB BC COLLATS BCL
46
Jc 2237 OS
47
Jc 2237 OS VB xISNT BC
48
Je 1401 OD
49
Je 1401 OD anom disc & vessels not = ISNT
50
Jf 2125 OD SPLNTER HEME, PALLOR VB
51
Jf 2125 OD
52
Ji 2246 OD
54
Ji 2246 OD
55
Ji 2246 OD
54
Ji 2246 OS
56
Ji 2246 OS BC BD NVD VIT HEME
57
Jj 4127 OD
58
Jj 4127 OD ENDSTAGE VB BD RIM vs RING ST NC
59
Jj 4127 OS
60
Jj 4127 OS PRE DH NOTE VEIN ON DISC PRE DH
61
Jj 4127 OS NOW C TWO DH INF BD BC
62
Kc2358 OD
63
Kc2358 OD NOT BY NOT CL
64
Kh7 517 os
65
Kh7 517 os DH SD BC SCLERAL RING
66
McD 5671 OD VB BCL SD BC
67
McD 5671 OD
68
McD 5671 OS
69
McD 5671 OS VB BCL BC NC
70
Me 2874
71
Me 2874 VB BD BC ~NC xISNT
72
Me 6109 OD
73
Me 6109 OD VB BD BC HV NC SCLERAL RING
74
Mj 2352 OS
75
Mj 2352 OS VB BD BC HV
76
Mj2352 OD
77
Mj2352 OD VB BD BC PPA BCL
78
CLINICAL EVALUATION OF THE OPTIC NERVE
MODULE FOUR
PETER LALLE, OD, FAAO
79
Mj 3703 OS
80
Mj 3703 OS VB RING vs RIM NO
81
Mm 5561 OD
82
Mm 5561 OD BCL NC
83
Mq 5151 OD
84
Mq 5151 OD TEMP SLOPE CL
85
S 4861 OD VB
86
S 4861 OD VB BD HV ~ NC
87
Sb 8460 OD
88
Sb 8460 OD VB SL PPA xISNT
89
Sj1251 OD
90
Sj1251 OD PPA NASAL HEAP C TILT
91
Sj 1251 OS
92
Sj 1251 OS PPA NASAL HEAP WITH TILT SD BC
93
UNKNOWN
94
UNKNOWN ANOM DISC ROTATED; CD LONG AXIS vs 12-6
95
UNKNOWN
96
UNKNOWN VB RIM vs RING ENDSTAGE
97
UNKNOWN
98
UNKNOWN VB BC BD XISNT
99
Sh 7430 OD DISCIFORM C SRF
100
Sh 7430 OD DISCIFORM C SRF
101
Sh 7430 OS SRF
102
Sh 7430 OS SRF
103