Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology. / Ahmadi, Hamid; Kolko, Miriam; Hamann, Steffen.

In: BMJ Case Reports, Vol. 15, No. 2, e248109, 2022.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Ahmadi, H, Kolko, M & Hamann, S 2022, 'Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology', BMJ Case Reports, vol. 15, no. 2, e248109. https://doi.org/10.1136/bcr-2021-248109

APA

Ahmadi, H., Kolko, M., & Hamann, S. (2022). Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology. BMJ Case Reports, 15(2), [e248109]. https://doi.org/10.1136/bcr-2021-248109

Vancouver

Ahmadi H, Kolko M, Hamann S. Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology. BMJ Case Reports. 2022;15(2). e248109. https://doi.org/10.1136/bcr-2021-248109

Author

Ahmadi, Hamid ; Kolko, Miriam ; Hamann, Steffen. / Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology. In: BMJ Case Reports. 2022 ; Vol. 15, No. 2.

Bibtex

@article{ed963c328e6c4523b504cc637066283f,
title = "Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology",
abstract = "An 83-year-old woman with a long history of glaucoma and optic disc drusen (ODD) was referred for neuro-ophthalmological second opinion. The patient had been treated for decades with bilateral intraocular pressure (IOP)-lowering eye drops, laser trabeculoplasty and trabeculectomy and had severe, bilateral loss of visual fields and retinal nerve fibre layer (RNFL) thinning on optical coherence tomography (OCT) despite IOP that never exceeded 24 mm Hg. On ophthalmoscopy, only a single ODD was visible in the left eye and no optic disc cupping was apparent in either eye. Enhanced depth imaging OCT (EDI-OCT) of the optic nerve head revealed bilateral multiple, large, deep ODD, which in itself could easily explain the visual field loss and RNFL thinning of this patient. Optic nerve head examination using EDI-OCT is highly recommended for patients with a history of glaucoma but without optic nerve head cupping to avoid a potential misdiagnosis with consequent unnecessary treatment.",
keywords = "glaucoma, visual pathway",
author = "Hamid Ahmadi and Miriam Kolko and Steffen Hamann",
note = "Publisher Copyright: {\textcopyright} BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2022",
doi = "10.1136/bcr-2021-248109",
language = "English",
volume = "15",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",
number = "2",

}

RIS

TY - JOUR

T1 - Enhanced depth imaging optical coherence tomography of the optic nerve head improves correct diagnosis in glaucoma suspects without glaucomatous optic disc morphology

AU - Ahmadi, Hamid

AU - Kolko, Miriam

AU - Hamann, Steffen

N1 - Publisher Copyright: © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2022

Y1 - 2022

N2 - An 83-year-old woman with a long history of glaucoma and optic disc drusen (ODD) was referred for neuro-ophthalmological second opinion. The patient had been treated for decades with bilateral intraocular pressure (IOP)-lowering eye drops, laser trabeculoplasty and trabeculectomy and had severe, bilateral loss of visual fields and retinal nerve fibre layer (RNFL) thinning on optical coherence tomography (OCT) despite IOP that never exceeded 24 mm Hg. On ophthalmoscopy, only a single ODD was visible in the left eye and no optic disc cupping was apparent in either eye. Enhanced depth imaging OCT (EDI-OCT) of the optic nerve head revealed bilateral multiple, large, deep ODD, which in itself could easily explain the visual field loss and RNFL thinning of this patient. Optic nerve head examination using EDI-OCT is highly recommended for patients with a history of glaucoma but without optic nerve head cupping to avoid a potential misdiagnosis with consequent unnecessary treatment.

AB - An 83-year-old woman with a long history of glaucoma and optic disc drusen (ODD) was referred for neuro-ophthalmological second opinion. The patient had been treated for decades with bilateral intraocular pressure (IOP)-lowering eye drops, laser trabeculoplasty and trabeculectomy and had severe, bilateral loss of visual fields and retinal nerve fibre layer (RNFL) thinning on optical coherence tomography (OCT) despite IOP that never exceeded 24 mm Hg. On ophthalmoscopy, only a single ODD was visible in the left eye and no optic disc cupping was apparent in either eye. Enhanced depth imaging OCT (EDI-OCT) of the optic nerve head revealed bilateral multiple, large, deep ODD, which in itself could easily explain the visual field loss and RNFL thinning of this patient. Optic nerve head examination using EDI-OCT is highly recommended for patients with a history of glaucoma but without optic nerve head cupping to avoid a potential misdiagnosis with consequent unnecessary treatment.

KW - glaucoma

KW - visual pathway

U2 - 10.1136/bcr-2021-248109

DO - 10.1136/bcr-2021-248109

M3 - Journal article

C2 - 35228245

AN - SCOPUS:85125680918

VL - 15

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

IS - 2

M1 - e248109

ER -

ID: 300064647