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[Diagnostic references in optic nerve diseases using retinal nerve fiber photography]
K U Bartz-Schmidt1, P Schmitz-Valckenberg
1Augenabteilung, Koblenz, Bundesrepublik Deutschland.
Fortschritte Der Ophthalmologie : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 1, 1990
Summary
Retinal nerve fiber layer photography is more informative for diagnosing non-glaucomatous optic nerve diseases than papillometry. This technique reveals localized optic nerve damage not detectable by examining the neuroretinal rim.
Area of Science:
- Ophthalmology
- Neuroscience
Context:
- Optic nerve diseases present diagnostic challenges.
- Traditional methods like papillometry may not detect localized damage.
Purpose:
- To evaluate the utility of retinal nerve fiber layer photography in non-glaucomatous optic nerve diseases.
- To compare its effectiveness against papillometry.
Summary:
- Reports two cases of optic nerve disease: one post-head injury with optic tract atrophy, another with arterial occlusion causing nerve fiber layer edema and atrophy.
- Retinal nerve fiber layer photography identified lesions and atrophy patterns in both cases.
- Papillometry showed no abnormalities in the neuroretinal rim area, highlighting its limitations in these conditions.
Impact:
- Demonstrates that retinal nerve fiber layer photography is superior to papillometry for detecting localized optic nerve damage in non-glaucomatous conditions.
- Suggests a more sensitive diagnostic approach for specific optic neuropathies.