Small Eye, Big Pressure

There is no convincing structural or functional evidence of glaucoma: The optic nerves exhibit unremarkable cupping and good symmetry between the superior and inferior rims without focal thinning or RNFL defects. The OCT scan shows mild diffuse depression of the RNFL with suboptimal signal strength (6/10); it should be repeated, preferably after pupillary dilation. Visual field testing demonstrates nonspecific defects, and the results of further testing are likely to remain unremarkable with improved patient fixation. CSLO has largely been supplanted by OCT for glaucoma diagnosis.

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