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Case 1

Patient Presentation: A 27-year-old male with a family history of open-angle glaucoma was referred to an ophthalmologist as a glaucoma suspect. His visual acuity was 20/20 OU. His manifest refraction was -5.00D OU. IOP was 10 OD and 11 OS (on 0/0 classes of glaucoma medications). Repeat OCT ONH/RNFL and Ganglion Cell analyses were completed and shown below:


Question: What main abnormality is seen on ONH/RNFL OCT? 

Question: What is the diagnosis in this patient? 

Question: What findings consistent with a split superior RNFL bundle are seen on this patient’s OCT images?

Question: RNFL split bundles are susceptible in which patient population?

Learning Objectives:

1.    Interpreting RNFL and GCC OCT images in patients with red disease.
2.    Identifying split-bundle RNFL defects on OCT.

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