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Sandeep Randhawa, MD; Vinay A. Shah, MD; Randy H. Kardon, MD, PhD

Arch Ophthalmol. 2007;125(8):1134.

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An 8-year-old white boy was referred to us for glaucoma evaluation. He had no history of premature birth or systemic anomalies. He was asymptomatic, with a visual acuity of 20/20 OU, an intraocular pressure of 12 mm Hg OU, and normal visual fields in both eyes (Figure 1). Ophthalmoscopy revealed a cup-disc ratio of 0.8 with mild cup pallor in both eyes (Figure 2). Heidelberg retinal tomography (Figure 3) and optical coherence tomography with normal nerve fiber layer thickness confirmed the diagnosis of megalopapilla type 1.^1-2

Figure appears in full text version. Figure 1. Goldmann perimetry showing full visual fields in the left (A) and right (B) eyes. Values are angles in degrees.

Figure appears in full text version. Figure 2. Color fundus photographs of the right (A) and left (B) optic discs showing large discs with an increased cup-disc ratio of 0.8. The . . . [Full Text of this Article]

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