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ALTHOUGH it has been recognized for very many years that various congenital anomalies of the optic nervehead occur, the influence of these on the progress of optic nerve disease seems to have been little studied. In particular, the influence of partial or complete inversion of the disc upon the nature of the cupping that occurs should a chronic glaucoma supervene has received little comment. The following case illustrates this.

Inversion of the disc and temporal field loss in chronic simple glaucoma.