Case #17 – Glaucoma Without Cupping?

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Case 3: Optomap® plus with Resmax™ As depicted on the last page, the RNFL defect is obvious 3-5 DD away from the optic nerve head. But as shown below, it does not appear to reach the disc and does not appear to result in a superior notch. Notice the RNFL defect is nearly

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Case 3: Optomap® plus with Resmax™ RNFL defects widen and are more obvious toward the periphery in contrast to the retinal vessels which taper toward the periphery. See a higher magnification image of this left eye in both color and green separation on the next page.

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Case 3: Optomap® plus with Resmax™ Images Note the prominent RNFL bundle defects in both eyes. In the right eye (left image), the superior temporal RNFL defect is most obvious. In the left eye, both the superior temporal and the inferior RNFL defects are equally obvious.

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Case 2: GDx Versus OCT RNFL Analysis OD GDx               OS GDx OD OCT              OS OCT OU OCT The GDx measures RNFL thickness via birefringence and the OCT uses optical reflectivity. The results generally correspond such as in this case.

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Case 2: optomap® and HRT The 6 distinct zones of disc tissue are classified as normal with the HRT in both the right and left eye. The Moorfields Regression Analysis (MRA) is normal in each eye. The rim volume asymmetry (but not the rim area asymmetry) is flagged as borderline.

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Case 2: Optomap® and GDx The GDx VCC is most abnormal superior temporal OD and essentially WNL OS. Although the RNFL defect in the optomap® image is more obvious inferior temporal, the loss superior temporal is wider, deeper and more diffuse but somewhat more difficult to recognize at first glance.

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Case 2: Optomap® Green Separation Images By comparing the 2 optomap® images, the superior temporal and inferior temporal RNFL OD appear less visible than OS. The normal white striations are far more pronounced in the vasular arcades OS than OD.

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Optomap® Green Separation Retinal Image The 55 year old white female whose optomap® image is below was initially referred because of a field loss OD on a  FDT screening. Diurnals revealed pressure spikes to 28 mm OD and the field loss was confirmed with a 24-2.

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