ABSTRACT
Glaucomatous changes in the optic disc As suggested by George Spaeth, glaucoma is a disease of change. Specifically, change in the appearance of the optic disc is the most important characteristic of the glaucomatous process. Hence, the ability to recognize glaucomatous changes in the optic nerve is fundamental to properly diagnose and manage patients considered suspect for glaucoma or known to have glaucoma (Figure 5.1). The optic
Figure 5.1A and 5.1B Example of concentric enlargement of the optic nerve cup. The pictures were taken 2 years apart. Observe that both the inferior and superior rims have lost tissue.
