Reversible optic disk cupping and visual field improvement in adults with glaucoma

L. Jay Katz, George L. Spaeth, Louis B. Cantor, Effie M. Poryzees, William C. Steinmann

Research output: Contribution to journalArticle

94 Scopus citations


To assess change over time in the optic disk and the associated change in visual field, we retrospectively reviewed perimetry results and optic disk photographs of adult patients treated for glaucoma. Three glaucoma specialists masked to the clinical course independently reviewed optic disk stereophotographs and visual fields taken before and after treatment. Each member of each pair of stereophotographs or perimetry results, which were presented in a random sequence, were graded as better, worse, or unchanged. Of the 75 eyes, 16 (21%) showed a reversal of optic disk cupping; 20 of the 63 visual fields (31%) were classified as improved. In six of 17 eyes (35%) with a change in the disk (better or worse), a corresponding change was also noted in the visual field. The frequency of improvement in optic disk and visual field appearance was significantly (P < .05) associated with the degree of intraocular pressure reduction.

Original languageEnglish (US)
Pages (from-to)485-492
Number of pages8
JournalAmerican Journal of Ophthalmology
Issue number5
StatePublished - May 15 1989

ASJC Scopus subject areas

  • Ophthalmology

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