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Ockham’s glaucoma
Author(s) -
Whiting Mark An,
Walland Mark J
Publication year - 2001
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1046/j.1442-9071.2001.00364.x
Subject(s) - medicine , glaucoma , visual field , occult , optic nerve , ophthalmology , ocular hypertension , visual field loss , intraocular pressure , normal tension glaucoma , blind spot , optometry , open angle glaucoma , pathology , neuroscience , alternative medicine , biology
The combination of characteristic optic nerve head cupping, arcuate visual field loss and ocular hypertension would usually be thought sufficient to diagnose glaucoma. Only in the absence of elevated intraocular pressure, when normal tension glaucoma may be suspected, would intracranial imaging normally be performed to exclude occult pathology. A case is presented which illustrates the continuing need for vigilance, and an open mind, years after an apparently straightforward diagnosis has been made.