Atlas of Ophthalmology

Micro-papilla, Variant of the Norm

Micro-papilla, Variant of the Norm
This disc measures 1.82 mm² instead of 2.7 mm². Small discs often lack a physiologic excavation and are fully functional ( Jonas et al 1989). Glaucomatous damage is initially only seen as nerve fiber defects. An excavation is a sign of alarm. Visual field defects are later than morphological signs. Drusen, Pseudoedema and non-arteritic infarcts are frequent. (Measurement of the disc size from prints of standard fotos with a Zeiss fundus camera according to Littmann)
Naumann, G.O.H., Prof. Dr. med., Univ.-Augenklinik, Erlangen, Germany
H40.9
Glaucomas, Ocular Hypertension -> Optic Nerve Head, Optic Disc(k), Papilla -> Normal Variants
5960
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