October 25, 2009
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Clinician: Baseline, annual optic disc photography provides knowledge of glaucomatous change

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SAN FRANCISCO — Imaging of the optic disc at different stages of progression is an effective means of following optic disc change in both suspect and confirmed cases, a glaucoma expert said here.

Richard K. Parrish II, MD
Richard K. Parrish II

Richard K. Parrish II, MD, said that careful review and repetition of optic disc imaging after initial baseline assessment helps in determining glaucomatous change and progression. He said there are several ways of recording optic disc appearance: free hand drawings, sequential stereoscopic photographs and simultaneous stereoscopic photographs.

He outlined the method of optic disc documentation used at Bascom Palmer Eye Institute during a session at Glaucoma Subspecialty Day prior to the American Academy of Ophthalmology meeting.

"[We] document baseline simultaneous stereoscopic photographs in glaucoma patients, those who are early and moderate in the course of their disease, ocular hypertensives, and review the photographs annually, repeating them if there is a question of change," Dr. Parrish said.