Question 10: What features would suggest a non-glaucomatous optic neuropathy rather than glaucoma?
Question 10: What features would suggest a non-glaucomatous optic neuropathy rather than glaucoma?
Answer:
Patients should be considered as having a possible non-glaucomatous optic neuropathy if they have the following:
- Age < 50 years
- Best-corrected vision < 20/40 (unless explained by other clear findings on exam)
- Optic disc pallor greater than cupping
- Visual field with borderline vertical midline defect
- Headaches and/or localizing neurologic symptoms