References Sherman, J., Bass, S. J., Slotnick, S. 2004 Glaucoma without cupping. Optometry. 75: 677-708 Jonas, J.B., Schmidt, A.M., M011er-Bergh, J.A., SchlOtzer-Schrehardt, U.M., Naumann, G.O.H. 1992 Human Optic Nerve Fiber Count and Optic Disc Size. Invest Ophthalmol Vis Sci. 33 (6): 2012-2018 Kanski, J.J., McAllister, J.A., Salmon, J.F. 1996. Glaucoma: A Colour Manual of Diagnosis
AcknowledgmentsSanjeev NathJeremy WhitneyKyle Bensinger
Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a
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Comments and Conclusions Black lines, or slits, that separate white nerve fiber layer bundles may seem like a loss of nerve fibers. If a slit is narrower than the width of a major blood vessel, and if it does not widen towards the periphery or taper towards the disc, the slit is likely physiological and
Case 6: Optomap® plus with Resmax™ Viewing both eyes simultaneously is often helpful to detect differences.
Case 6: Optomap® Fundus Image OD Yet another "normal" with an apparent RNFL defect superior temporally. All clinical findings are within normal limits.
Case 5: Optomap® and RNFL Thickness Analysis OD Of particular interest, the SD OCT measurement in the zone including the RNFL defect and the area below it are borderline in thickness. This superior temporal zone has an average thickness of 89 µm but the corresponding inferior temporal zone has an average thickness of 147
Case 5: Optomap® Green Separation Image OD The defect widens towards the periphery and becomes obscured at and near the disc.
Case 5: Optomap® Fundus Image OD However, an apparent RNFL defect that does not extend to the disc is observed with wide-field imaging.