Skip to main content
PMC home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1976 Nov;60(11):778–785. doi: 10.1136/bjo.60.11.778

The optic disc in glaucoma. I: Classification.

R A Hitchings, G L Spaeth
PMCID: PMC1042838  PMID: 1009058

Abstract

Five different descriptive types of glaucomatous optic discs are described, based on the examination of X2 magnification stereophotographs of 252 patients from the files of the Glaucoma Service at Wills Eye Hospital. The method of analysis is described in detail. These types include: overpass cupping, cupping without pallor of the neuroretinal rim, cupping with pallor of the neuroretinal rim, focal notching of the neuroretinal rim, and bean-pot cupping. These morphological types may be caused by variations in factors contributing to the pathogenesis of glaucomatous eyes. Recognition of these differing types may help in determining the factors in each case.

Full text

PDF
780

Images in this article

780Image
on p.780
781Image
on p.781
781Image
on p.781
782Image
on p.782
782Image
on p.782

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Drance S. M., Begg I. S. Sector haemorrhage--a probable acute ischaemic disc change in chronic simple glaucoma. Can J Ophthalmol. 1970 Apr;5(2):137–141. [PubMed] [Google Scholar]
  2. Fishman R. S. Optic disc asymmetry. A sign of ocular hypertension. Arch Ophthalmol. 1970 Nov;84(5):590–594. doi: 10.1001/archopht.1970.00990040592006. [DOI] [PubMed] [Google Scholar]
  3. Hoyt W. F., Frisén L., Newman N. M. Fundoscopy of nerve fiber layer defects in glaucoma. Invest Ophthalmol. 1973 Nov;12(11):814–829. [PubMed] [Google Scholar]
  4. Kirsch R. E., Anderson D. R. Clinical recognition of glaucomatous cupping. Am J Ophthalmol. 1973 Mar;75(3):442–454. doi: 10.1016/0002-9394(73)91153-7. [DOI] [PubMed] [Google Scholar]
  5. SNYDACKER D. THE NORMAL OPTIC DISC. OPHTHALMOSCOPIC AND PHOTOGRAPHIC STUDIES. Am J Ophthalmol. 1964 Dec;58:958–964. [PubMed] [Google Scholar]
  6. Schwartz B. Cupping and pallor of the optic disc. Arch Ophthalmol. 1973 Apr;89(4):272–277. doi: 10.1001/archopht.1973.01000040274002. [DOI] [PubMed] [Google Scholar]
  7. Tomlinson A., Phillips C. I. Ovalness of the optic cup and disc in the normal eye. Br J Ophthalmol. 1974 May;58(5):543–547. doi: 10.1136/bjo.58.5.543. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Witusik W. Types of physiological excavation of the optic nerve head. Ophthalmologica. 1966;152(1):57–67. doi: 10.1159/000304954. [DOI] [PubMed] [Google Scholar]
  9. Woodruff M. E. Optic disc typing--a technique to improve fundus examination. Am J Optom Arch Am Acad Optom. 1970 Apr;47(4):315–323. [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES