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It is very difficult to diagnose an optic disc anomaly that has a glaucoma-like visual field impairment and cupping of the disc, whether or not it is complicated by glaucoma. However, even in the early stages of glaucoma, by using the short time inversion recovery (STIR) sequence of MRI, optic atrophy in the optic nerve is easily demonstratable as a high-signal intensity lesion. On the other hand, optic disc anomalies, such as myopic disc change with conus, optic hypoplasia, tilted disc, and disc coloboma, can be demonstrated as an iso-signal intensity on STIR images. Thus, when a high-signal intensity lesion is shown on a STIR image in the optic nerve with a disc anomaly, a diagnosis of complication of glaucoma can be made. Therefore, the STIR image of a MRI plays an important role in the diagnosis of glaucoma complications in cases with disc anomaly. LA: Japanese
Dr. Y. Nakao, Department of Ophthalmology, Sakai Hospital, Kinki University School of Medicine, 2-7-1, Harayamadai, Minami-ku, Sakai, Osaka 590-0132, Japan
9.2.4 Normal pressure glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
6.30 Other (Part of: 6 Clinical examination methods)
2.14 Optic disc (Part of: 2 Anatomical structures in glaucoma)