Reversible glaucomatous cupping of the disc

A nine-year-old girl under medical treatment for uveitis was brought for optometrical examination. In addition to a low grade anterior uveitis she was found to have high intraocular pressures, a reduced light sense, pulsation of the arteries on the disc and extensive optic disc cupping. The most probable diagnosis was juvenile rheumatoid arthritis. Photographs show reversal of the cupping over a four-month period during which intraocular pressures were brought into the normal range. Optometrists are cautioned that they should assess not only the progress of treatment of an established eye disease but should also review the entire ocular status of patients coming under their care.