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Identification of Glaucoma: Observation of Rim Width

The document discusses methods for identifying glaucoma by observing the optic disc and rim width, size of the neuroretinal rim, pallor of the rim, peripapillary atrophy, and disk hemorrhage. Key signs of glaucoma include a rim width smaller than the optic cup boundary, notching, hemorrhaging or undercutting of the rim, rim abnormalities in one or two sectors, rim diffusion, and a cup size greater than any pallor region. Peripapillary atrophy is identified by hyperpigmented alpha zones typically in the temporal side and beta zones in the inferior side where large choroidal vessels may be visible, and can affect rim size.

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Lokesh Kancharla
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30 views3 pages

Identification of Glaucoma: Observation of Rim Width

The document discusses methods for identifying glaucoma by observing the optic disc and rim width, size of the neuroretinal rim, pallor of the rim, peripapillary atrophy, and disk hemorrhage. Key signs of glaucoma include a rim width smaller than the optic cup boundary, notching, hemorrhaging or undercutting of the rim, rim abnormalities in one or two sectors, rim diffusion, and a cup size greater than any pallor region. Peripapillary atrophy is identified by hyperpigmented alpha zones typically in the temporal side and beta zones in the inferior side where large choroidal vessels may be visible, and can affect rim size.

Uploaded by

Lokesh Kancharla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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IDENTIFICATION OF GLAUCOMA

OBSERVATION OF RIM WIDTH


1. Identification of limits and size of the optic disc.
2. Rim width=boundary of the optic disc-boundary of the optic cup(where
kinking of the vessel appears).

IDENTIFICATION OF SIZE OF THE


NEURORETINAL RIM
1. RIM is the area between boundaries of disc and
cup
Signs of glaucoma identification by size of rim
possibly by
a. Notching of rim
b. Hemorrhage crossing the rim
c. Undercutting of rim
d. Abnormality in the rim in one or two sectors.
e. Diffusion of rim

PALLOR

Observation of color of rim


1. If the cup size is greater than pallor region it is indicating glaucoma.

PERIPAPILLARY ATROPHY
Here two regions will indicate sign of atrophy
1. Alpha-zone is a hyper pigmented area normally appears in temporal side of
the disc.
2. Beta-zone normally appears inferior side of the disc.
3. In beta zone large choroidal vessel becomes visible.
4. Beta zone affects the size of the rim.

DISK HEMORRHAGE
Due to the leakage of blood in optic disc

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