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Abstract #19093 Published in IGR 3-1
Ockham's glaucoma
Whiting MAN; Walland MJClinical and Experimental Ophthalmology 2001; 29: 41-43
The combination of characteristic optic nerve head cupping, arcuate visual field loss and ocular hypertension would usually be thought sufficient to diagnose glaucoma. Only in the absence of elevated intraocular pressure, when normal tension glaucoma may be suspected, would intracranial imaging normally be performed to exclude occult pathology. A case is presented which illustrates the continuing need for vigilance, and an open mind, years after an apparently straight-forward diagnosis has been made.
Dr M.A.N. Whiting, Ophthalmology Department, Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, Victoria 3002, Australia
Classification:
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
