FAQs / Is reversal of optic nerve cupping possible?

February 16, 2017

QUESTION:

Hi Dr. Richardson, I am a glaucoma patient for over five years now. A year ago I saw a new doctor for my glaucoma . He labelled my cup-to-disc ratio (CDR) 0. 8 both eyes and he put me on Travantan Z and Timolol 0. 5. After seeing him every two months for check up, he has labelled my CDR now to 0. 6 both eyes. He told me I should now see him after three months if the damage does not continue then I will have to see him after six months. Was confused about the drop in my CDR from 0. 8 to 0. 6. Please help me out a bit

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ANSWER:

Although reversal of optic nerve cupping can be seen in infants and children, it is rare to observe this in adults. Most likely one of the two estimates of cupping is incorrect. Unless the cup-to-disc ratio was objectively measured (by stereo disc photos or OCT) it is not possible to be certain of a change in cupping.

Warm regards,
David Richardson, MD
Patient-Focused Ophthalmologist

San Marino Eye
2020 Huntington Drive
San Marino, CA 91108
626.289.7856

Patient-Focused Websites:
New-Glaucoma-Treatments.com
About-Eyes.com

Posted in: Glaucoma, Other Concerns