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Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis

We present a series of six patients who had been receiving treatment for normal tension glaucoma (NTG; five patients) or primary open angle glaucoma (one patient). All of them were found to have optic neuropathy secondary to compression of the anterior visual pathway. Even though uncommon, compressi...

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Autores principales: Choudhari, Nikhil S, Neog, Aditya, Fudnawala, Vimal, George, Ronnie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214422/
https://www.ncbi.nlm.nih.gov/pubmed/22011496
http://dx.doi.org/10.4103/0301-4738.86320
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author Choudhari, Nikhil S
Neog, Aditya
Fudnawala, Vimal
George, Ronnie
author_facet Choudhari, Nikhil S
Neog, Aditya
Fudnawala, Vimal
George, Ronnie
author_sort Choudhari, Nikhil S
collection PubMed
description We present a series of six patients who had been receiving treatment for normal tension glaucoma (NTG; five patients) or primary open angle glaucoma (one patient). All of them were found to have optic neuropathy secondary to compression of the anterior visual pathway. Even though uncommon, compression of the anterior visual pathway is an important differential diagnosis of NTG. Diagnosis of NTG should be by exclusion. Here the possible causes of misdiagnosis are discussed. We present an approach to distinguish glaucomatous from nonglaucomatous optic neuropathy. The article also emphasizes how important it is for the clinicians to consider the total clinical picture, and not merely the optic disc morphology, to avoid the mismanagement of glaucoma, especially the NTG.
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spelling pubmed-32144222011-11-16 Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis Choudhari, Nikhil S Neog, Aditya Fudnawala, Vimal George, Ronnie Indian J Ophthalmol Brief Communications We present a series of six patients who had been receiving treatment for normal tension glaucoma (NTG; five patients) or primary open angle glaucoma (one patient). All of them were found to have optic neuropathy secondary to compression of the anterior visual pathway. Even though uncommon, compression of the anterior visual pathway is an important differential diagnosis of NTG. Diagnosis of NTG should be by exclusion. Here the possible causes of misdiagnosis are discussed. We present an approach to distinguish glaucomatous from nonglaucomatous optic neuropathy. The article also emphasizes how important it is for the clinicians to consider the total clinical picture, and not merely the optic disc morphology, to avoid the mismanagement of glaucoma, especially the NTG. Medknow Publications 2011 /pmc/articles/PMC3214422/ /pubmed/22011496 http://dx.doi.org/10.4103/0301-4738.86320 Text en Copyright: © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Communications
Choudhari, Nikhil S
Neog, Aditya
Fudnawala, Vimal
George, Ronnie
Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis
title Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis
title_full Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis
title_fullStr Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis
title_full_unstemmed Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis
title_short Cupped disc with normal intraocular pressure: The long road to avoid misdiagnosis
title_sort cupped disc with normal intraocular pressure: the long road to avoid misdiagnosis
topic Brief Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214422/
https://www.ncbi.nlm.nih.gov/pubmed/22011496
http://dx.doi.org/10.4103/0301-4738.86320
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