To compare the effect of centrally aligned image acquisitions with that of roughly centered image acquisitions on the reproducibility of topographic parameters obtained with the Heidelberg Retina Tomograph. three optic nerve head images were acquired sequentially by the rough centration of live image on the monitor, after then another three images sequentially by the central alignment in five healthy eyes of five subjects. For the centrally aligned image acquisitions, the contour of the frozen live optic nerve head image of each eye was copied into the transparent film. The images were acquired when the margin of live image fitted the contour line on the film. The reliability coefficients of the parameters ranged from 59.4% to 98.2% by the rough centration and 89.7% to 98.7% by the the central alignment. The results indicate that centrally aligned image acquisition provide highly reproducible topographic data of optic nerve head.
Optic Disk* ; Optic Nerve* ; Retina*

No abstract available.
Granuloma ; Optic Disk ; Optic Nerve ; Sarcoidosis

We analysed the optic nerve head of 151 normal eyes with 8 confocal scanning laser ophthalmoscope (TopSSTM, Laser Diagnostic Technologies, Inc.), and obtained the normal values of each parameters. As the optic disc size increases, the cup shape, effective area, 1/2 depth area, C/D ratio, neuroretinal rim area, volume above, volume below, and 1/2 depth volume also increase. Therefore we obtained the normal values of these parameters according to the optic disc size. The entire subjects were divided into four groups according to the disc area, each group of 1. 5mm2-2.0mm2, 2.0mm2-2.5mm2, 2.5mm2-3.0mm2, and 3.0mm2-3.5mm2`, respectively. The normal values of other parameters such as contour variation, rnean contour depth, average depth, maximum depth, average slope, and maximum slope which are not affected by optic disc size were obtained without grouping. This may minimize the error in evaluating the optic disc parameters and may be useful in the early detection of glaucomatous optic disc changes.
Ophthalmoscopes ; Optic Disk ; Reference Values*

No abstract available.
Glaucoma* ; Optic Disk ; Visual Fields

BACKGROUND: Optic disc drusen, which are calcified deposits that form anterior to the lamina cribrosa in the optic nerve, may mimic papilledema. CASE REPORT: We report herein three cases referred to us with suspicion of disc swelling and papilledema. Following ophthalmologic evaluation with B-scan ultrasound, red-free fundus photography, and computed tomography, the diagnosis of papilledema was excluded in all cases and optic disc drusen was diagnosed. CONCLUSIONS: Clinical suspicion of optic disc drusen in cases presenting with swelling of the optic nerve head is important in order to avoid unnecessary interventions and anxiety. The reported cases highlight the commonly encountered clinical presentations and the practical aspects of diagnosis and management of optic disc drusen.
Anxiety ; Diagnosis, Differential ; Hydrazines ; Optic Disk ; Optic Disk Drusen ; Optic Nerve ; Papilledema ; Photography

PURPOSE: To evaluate diagnostic the usefulness of blind spot mapping in measuring ocular torsion changes and to investigate the correlations of inferior oblique muscle overaction (IOOA) and excyclotorsion measurements using fundus photographs and blind spot mapping in patients with secondary IOOA. METHODS: Eleven patients (12 eyes; IOOA group) diagnosed with secondary IOOA were evaluated for ocular movement, fundus photograph and Humphrey standard automated perimetry, and 10 patients (20 eyes; control group) were subjected to the same tests. An ocular movement examination was performed to evaluate IOOA, and fundus photograph and Humphrey standard automated perimetry were used to measure the ocular torsion. Inferior oblique myectomy or recession was performed along with horizontal strabismus surgery, and preoperative and postoperative IOOA and ocular torsion measurements were compared between the groups. RESULTS: In the IOOA group after surgery, the IOOA decreased from +2.42 ± 0.63 to +0.50 ± 0.52, the ocular torsion decreased from +14.15 ± 3.60° to +7.47 ± 1.65° (p < 0.001) on fundus photographs, and from +12.19 ± 1.62° to +9.69 ± 1.75° (p = 0.061) in Humphrey standard automated perimetry. The control group showed a mean ocular torsion of 7.44 ± 1.62° on fundus photographs and +7.24 ± 1.28° on Humphrey standard automated perimetry. CONCLUSIONS: The usefulness of blind spot mapping when the ocular torsion was measured in IOOA patients was considered low, due to the weak correlation between IOOA and extorsion; preoperative and postoperative ocular torsion amount values were not significantly different.
Humans ; Optic Disk* ; Strabismus ; Visual Field Tests

Diagnostic upper gastrointestinal endoscopy is the most basic of endoscopy procedures and is the technique that trainee doctors first learn. Mastering the basics of endoscopy is very important because when this process is imprecise or performed incorrectly, it can severely affect a patient's health or life. Although there are several guidelines and studies that consider these basics, there are still no standard recommendations for endoscopy in Korea. In this review, basic points, including proper endoscope insertion, precise observation without blind spots, and appropriate photographing, for upper gastrointestinal endoscopy will be discussed.
Endoscopes ; Endoscopy ; Endoscopy, Gastrointestinal* ; Korea ; Optic Disk

Many visual field indices have been used for the rapid, precise evaluation of the Humphrey automated visual field. The clinical usefulness of Pericecal Index(PI), the mean sensitivity of 11 test points around the blind spot, was studied in the diagnosis of early glaucoma. PI was calculated in 60 eyes with low tension glaucoma(LTG)[mean defect<10dB], 60 eyes with early visual field change[general reduction of sensitivity(GRS)] and in 60 normal eyes. The difference between glaucomatolls eyes and normal eyes was statistically significant(p<0.01). And also compared PI with the mean sensitivity of 11 control points, located at same eccentricity in lower field and used this as the Control Area(CA). More over, the mean sensitivity of these points in glaucomatous and normal eyes was compared. The difference between PI and CI was only statistically significant in glaucomatolls eyes. On the other hand, We found a significant difference between normal and glaucomatolls control points. Thus we concluded that PI can be the useful visual field indix for the diagnosis of early glaucoma.
Diagnosis ; Glaucoma* ; Hand ; Optic Disk ; Visual Fields*

To identify the pattern of glaucomatous changes of the optic disc, the rim area to disc area ratio (RA/DA ratio) of 149 eyes (149 cases) with primary open-angle glaucoma (POAG) were measured and compared with that of 88 eyes (88 cases) of normal individuals. At all stages of the disease, glaucomatous rim loss was present in all sectors of the optic disc. The location of the most pronounced rim loss changed depending on the severity of the disease. In the early (RA/DA ratio > 61%; mean deviation(MD): -6.43+/-3.32dB) and medium (RA/DA ratio=41~60%; MD: -7.54+/-5.65dB) glaucoma subgroups, rim loss was found predominantly at the inferior temporal and superior temporal disc region. In the advanced glaucoma subgroup (RA/DA ratio=40~21%; MD: -18.27+/-8.40dB), the temporal horizontal disc region showed relatively marked rim loss. In the far advanced glaucoma subgroup (RA/DA ratio=20~0%; MD: -25.91+/-5.40dB), the rim remnants were located mainly in the nasal disc sector, with a larger rim portion in the upper nasal region than in the lower nasal region. These results indicate that generally in POAG, the loss of neuroretinal rim was found to start predominantly in the inferior temporal and superior temporal disc region, and then the temporal horizontal, the inferior nasal, and the superior nasal disc sectors followed.
Glaucoma ; Glaucoma, Open-Angle* ; Optic Disk

The second phase of this study was performed with the same procedures as the first phase, and the study population was limited to young recruits in the Army. After examination of 1028 normal eyegrounds, it became apparent that there are several definite and easily recognizable variations in the distribution of the vessels as they emerge from the optic nerve head. The classification is made by dividing the surface of the nerve head into four quadrants, Le., tbe upper and lower nasal and the upper and lower temporal. Since there are four main branches of the retinal artery, namely, the superior and inferior temporal and tbe superior and inferior nasal, there are nine possible variation in the distribution of these vessels over the surface of the optic nerve head.
Classification* ; Head ; Optic Disk* ; Retinal Artery*