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BRIEF COMMUNICATION
Year : 2011  |  Volume : 59  |  Issue : 6  |  Page : 491-497

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


1 Department of Jadhavbhai Nathamal Singhvi Glaucoma and Neuro-Ophthalmology, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, India
2 Department of Neuro-Ophthalmology, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, India
3 Department of Jadhavbhai Nathamal Singhvi Glaucoma, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, India

Correspondence Address:
Nikhil S Choudhari
Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai - 600 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.86320

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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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