PubMed Health⌕ Search

PubMed · 6512150

Component evaluation of cup/disk ratio estimation.

Abstract

Cup/disk (C/D) ratio estimation is frequently used to evaluate cupping within the optic nerve head. Two components are involved in the determination of this value: (1) the cup and disk margin determination, and subsequently (2) the magnitude estimation of the cup size relative to the disk size. This study investigated the magnitude estimation component by asking fourth year optometry students to estimate C/D ratios on optic nerve head photographs and drawings. The importance of the magnitude estimation was demonstrated by the high degree of variability among subjects on the nerve head drawings upon which cup and disk margins were presented unambiguously. A subsequent survey of faculty clinicians indicated a large percentage of practitioners (41%) have no method they consciously use to help determine their C/D ratio estimate. A specific method is presented which allows clinicians to simply and logically deduce this magnitude estimation.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

G W Good, T G Quinn. 1984. Component evaluation of cup/disk ratio estimation.. https://pubmed.ncbi.nlm.nih.gov/6512150/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Do scleral flap dimensions influence reliability of intraocular pressure control in experimental trabeculectomy?

AIM: To compare the effect on intraocular pressure (IOP) of large vs small scleral flap size during trabeculectomy using adjustable sutures. METHODS: Trabeculectomy operations were performed on nine donor human eyes connected to a constant flow infusion with real-time IOP monitoring. Large scleral flaps (4 x 4 mm, 16 mm(2), n=12) or small scleral flaps (3 x 2 mm, 6 mm(2), n=9) were constructed over 0.76 mm(2) sclerostomies. For each procedure, equilibrium IOP was measured following tight closure with two four-throw adjustable 10-0 nylon sutures. RESULTS: Five scleral flaps were thin or poorly constructed; four of these were in the initial seven procedures, implying learning effect. These had a mean absolute IOP of 7.6 mmHg (range 2.7-12.4 mmHg) and mean relative IOP of 28.3% of baseline (range 10-45.8%) after closure. In the remaining 16 good quality procedures, mean IOP was 1.3 mmHg (range 0-3.4 mmHg) after sclerostomy, confirming minimal outflow resistance before closure. Following flap closure mean IOP was 20 mmHg (SD 4.4, range 15.5-29.3 mmHg) for large (n=8), and 18.7 mmHg (SD 3.6, 15.9-25.8 mmHg) for small (n=8) flaps (unpaired t-test, P=0.26). Mean IOP (% baseline) was 71.6% (SD 8.4, range 60.6-86.6%) and 66% (SD=12.7, 46.8-86.6%) for large and small flap groups, respectively (unpaired t-test, P=0.2). CONCLUSIONS: Well-constructed scleral flaps of both sizes were able to support an average IOP at least two-thirds of baseline, and both had similar absolute IOP levels. Errors in flap construction resulted in loss of IOP control. Smaller flap size does not appear to compromise control of early postoperative IOP using adjustable sutures.

Glaucoma↗