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Related Experiment Video

Updated: Feb 26, 2026

Translaminar Autonomous System Model for the Modulation of Intraocular and Intracranial Pressure in Human Donor Posterior Segments
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Bilateral normal tension glaucoma: Can this be nutritional?

Sirisha Senthil1, Kiranmaye Turaga1

  • 1VST Center for Glaucoma Care, L. V. Prasad Eye Institute, Hyderabad, Telangana, India.

Indian Journal of Ophthalmology
|July 21, 2017
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Summary

Normal tension glaucoma (NTG) can be misdiagnosed. Three cases initially labeled as NTG were actually nutritional optic neuropathy, highlighting the importance of accurate diagnosis for proper treatment.

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Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Normal tension glaucoma (NTG) is characterized by optic nerve damage and visual field loss without elevated intraocular pressure.
  • Accurate diagnosis is crucial as misdiagnosis can lead to inappropriate treatments and disease progression.

Observation:

  • Three patients presented with visual field defects and optic nerve abnormalities initially diagnosed as NTG.
  • These patients exhibited features consistent with nutritional optic neuropathy rather than glaucoma.

Findings:

  • The study identified misdiagnosis of NTG in three cases, where the actual condition was nutritional optic neuropathy.
  • Distinct clinical features, visual field patterns, and imaging findings differentiate NTG from nutritional optic neuropathy.

Implications:

  • Accurate differentiation between NTG and nutritional optic neuropathy is essential for appropriate patient management.
  • Misdiagnosis can result in delayed treatment of the underlying nutritional deficiency, potentially leading to irreversible vision loss.