Human optic nerve head. (A and
C) In vivo photograph. (B
and D) Postmortem photomicrograph. (Hematoxylin and
eosin stain; ×20.) (A and B) Normal.
(C and D) Advanced glaucoma. Note the
small, shallow central physiologic “cup,” (asterisk) and the full
neuroretinal rim (arrow) (which comprises approximately 106
axons) in the normal nerve head. Compare with the deep, wide central
excavation, the nasal displacement of the blood vessels, and the
narrowing of the neuroretinal rim, indicating loss of most optic nerve
fibers and their retinal ganglion cells, in the glaucomatous eye.