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Br J Ophthalmol. Nov 1976; 60(11): 778–785.
PMCID: PMC1042838

The optic disc in glaucoma. I: Classification.


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.

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Selected References

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  • Drance SM, Begg IS. Sector haemorrhage--a probable acute ischaemic disc change in chronic simple glaucoma. Can J Ophthalmol. 1970 Apr;5(2):137–141. [PubMed]
  • Fishman RS. Optic disc asymmetry. A sign of ocular hypertension. Arch Ophthalmol. 1970 Nov;84(5):590–594. [PubMed]
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  • Witusik W. Types of physiological excavation of the optic nerve head. Ophthalmologica. 1966;152(1):57–67. [PubMed]
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