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In conclusion, the future of glaucoma imaging for early glaucoma diagnosis and change detection must assess both the structure and function of the optic nerve, including ganglion cell bodies and axons. The authors believe that structural assessment alone may not be adequate for early detection of glaucoma because of the overlap of ONH topography and NFL thickness between normal individuals and those with glaucoma; however, they expect these techniques to be excellent for detection of the progression of glaucomatous damage. The authors expect some overlap in functional parameters as well. They foresee the need for objective quantitative functional tests in conjunction with objective, quantitative structural assessment. Through the use of these advanced technologies, they expect that clinicians will have the means for earlier and more reliable detection of glaucoma and its progression.
Dr. J.S. Schuman, Tufts University School of Medicine, New England Eye Center, Box 450, 750 Washington St, Boston, MA 02111, USA
2.13 Retina and retinal nerve fibre layer (Part of: 2 Anatomical structures in glaucoma)
2.14 Optic disc (Part of: 2 Anatomical structures in glaucoma)
6.9 Computerized image analysis (Part of: 6 Clinical examination methods)