OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD

<p>Background. Optic nerve diseases, such as glaucomas, lead to changes in the intrapapillary and parapapillary region of the optic nerve head.</p><p>Conclusions. These changes can be described by the following variables: size and shape of the optic disc; size, shape, and pallor of...

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Main Authors: Marija Zupan, Kristina Mikek, Smiljana Gruden
Format: Article
Language:English
Published: Slovenian Medical Association 2002-12-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1732
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author Marija Zupan
Kristina Mikek
Smiljana Gruden
author_facet Marija Zupan
Kristina Mikek
Smiljana Gruden
author_sort Marija Zupan
collection DOAJ
description <p>Background. Optic nerve diseases, such as glaucomas, lead to changes in the intrapapillary and parapapillary region of the optic nerve head.</p><p>Conclusions. These changes can be described by the following variables: size and shape of the optic disc; size, shape, and pallor of the neuroretinal rim; size of the optic cup in relation to the area of the disc; configuration and depth of the optic cup; ratios of cup to disc diameter and cup to disc area; position of the exit of the central retinal vessel trunk on the lamina cribrosa surface; presence and location of splinter-shaped hemorrhages; occurence, size, configuration, and location of parapapillary chorioretinal atrophy; diffuse and/or focal decrease of the diameter of the retinal arterioles; and visibility of the retinal nerve fiber layer (RNFL). These variables can be assessed semiquantitively by ophthalmoscopy without applying sophisticated techniques. For the early detection of glaucomatous optic nerve damage in ocular hypertensive eyes before the development of visual field loss, the most important variables are neuroretinal rim shape, optic cup size in relation to optic disc size, diffusely or segmentally decreased visibility of the RNFL, occurence of localized RNFL defects, and presence of disc hemorrhages.<br /><br /></p>
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spelling doaj.art-b1cd9d28af08430aa340e703a7237b342022-12-22T00:52:35ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242002-12-017101245OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEADMarija Zupan0Kristina Mikek1Smiljana Gruden2Očesna klinika Klinični center Zaloška 29 1525 LjubljanaOčesna klinika Klinični center Zaloška 29 1525 LjubljanaOčesna klinika Klinični center Zaloška 29 1525 Ljubljana<p>Background. Optic nerve diseases, such as glaucomas, lead to changes in the intrapapillary and parapapillary region of the optic nerve head.</p><p>Conclusions. These changes can be described by the following variables: size and shape of the optic disc; size, shape, and pallor of the neuroretinal rim; size of the optic cup in relation to the area of the disc; configuration and depth of the optic cup; ratios of cup to disc diameter and cup to disc area; position of the exit of the central retinal vessel trunk on the lamina cribrosa surface; presence and location of splinter-shaped hemorrhages; occurence, size, configuration, and location of parapapillary chorioretinal atrophy; diffuse and/or focal decrease of the diameter of the retinal arterioles; and visibility of the retinal nerve fiber layer (RNFL). These variables can be assessed semiquantitively by ophthalmoscopy without applying sophisticated techniques. For the early detection of glaucomatous optic nerve damage in ocular hypertensive eyes before the development of visual field loss, the most important variables are neuroretinal rim shape, optic cup size in relation to optic disc size, diffusely or segmentally decreased visibility of the RNFL, occurence of localized RNFL defects, and presence of disc hemorrhages.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1732cup/disc rationeuroretinal rimoptic cupoptic discoptic disc hemorrhagesoptic disc pallorparapapillary atrophyretinal nerve fiber layerretinal vessel diametre
spellingShingle Marija Zupan
Kristina Mikek
Smiljana Gruden
OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD
Zdravniški Vestnik
cup/disc ratio
neuroretinal rim
optic cup
optic disc
optic disc hemorrhages
optic disc pallor
parapapillary atrophy
retinal nerve fiber layer
retinal vessel diametre
title OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD
title_full OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD
title_fullStr OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD
title_full_unstemmed OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD
title_short OPHTHALMOSCOPIC EVALUATION OF THE OPTIC NERVE HEAD
title_sort ophthalmoscopic evaluation of the optic nerve head
topic cup/disc ratio
neuroretinal rim
optic cup
optic disc
optic disc hemorrhages
optic disc pallor
parapapillary atrophy
retinal nerve fiber layer
retinal vessel diametre
url http://vestnik.szd.si/index.php/ZdravVest/article/view/1732
work_keys_str_mv AT marijazupan ophthalmoscopicevaluationoftheopticnervehead
AT kristinamikek ophthalmoscopicevaluationoftheopticnervehead
AT smiljanagruden ophthalmoscopicevaluationoftheopticnervehead