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Optic Neuropathy Resembling Normal-Pressure Glaucoma in a Teenager With Congenital Macrodiscs
Arch Ophthalmol. 1998;116:1384-1386.
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Normal-pressure glaucoma is a special form of the chronic open-angle glaucomas characterized by loss of neuroretinal rim and retinal nerve fiber layer, perimetric defects, and normal intraocular pressure measurements. Age of the patients at the time of the diagnosis is usually in the range of 40 to 50 years.1 We report an unusual occurrence of an optic neuropathy resembling normal-pressure glaucoma in a 13-year-old patient with a follow-up time of 10 years.
Report of a Case
In 1987, at the age of 3 years, the patient was referred to us for exclusion of congenital or infantile glaucoma. During a routine ophthalmologic examination, the referring ophthalmologist had noticed an abnormally large optic cup. Visual acuity measured 12/20 OU, and repeated intraocular pressure measurements determined by applanation tonometry varied between 10 and 14 mm Hg. Horizontal and vertical corneal diameters ranged between 11.5 and 12.0 mm. Morphometric evaluation of color stereo optic disc photographs (Figure . . . [Full Text of this Article] Comment
Reprints: Jost B. Jonas, MD, Universitäts-Augenklinik, Schwabachanlage 6, 91054 Erlangen, Germany (e-mail: Jost.Jonas@augen.med.uni-erlangen.de).
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Large Optic Disc
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Arch Ophthalmol 2008;126:582-582.
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