Advanced chronic simple glaucoma - Retina Club : Retina Club

Color retinography 30º: Tiger-colored fundus. Papillae with 0.9 excavation and marked loss of neuroretinal ring.

Retinography with 20º green filter: Allows better visualization of the details of the papilla, highlighting the bayonet-shaped retinal vessels and the nasal displacement of large vessels.

Papillary OCT (RNFL)

Macular OCT: Ganglion cell layer analysis

Visual field (threshold test 24.2 Humphrey, Zeiss): Marked CV involvement: OD: Upper arcuate defect with nasal step. LE: subtotal loss.

Dr. Pablo Gili Manzanaro

Description

Chronic simple glaucoma (CSG) is a progressive optic neuropathy secondary to increased intraocular pressure that causes visual field loss that can lead to blindness.

Comments

The asymptomatic nature of the disease in the initial stages makes periodic check-ups necessary from the age of 40, especially if there are risk factors (family history, myopia, etc.).

Indication

A 70-year-old male with bilateral decreased VA comes for evaluation of cataract. On examination, he presents an incipient nuclear cataract, intraocular pressure in the RE 27 and in the LE 29 mmHg, and glaucomatous papillae. The visual field involvement and the loss of thickness of the nerve fiber layer (NFL) and the ganglion cell layer confirm the diagnosis of advanced chronic simple glaucoma.