Peripapillary crescents and halos in normal-tension glaucoma and ocular hypertension.
In normal-tension glaucoma ("low-tension" glaucoma), 21 of 33 eyes (64%) had a peripapillary chorioscleral crescent or halo, compared with 13 of 38 eyes (34%) with ocular hypertension. The average area of bared choroid and sclera was greater in normal-tension glaucoma (5.8 arbitrary units of area) than in ocular hypertension (1.4 units). Myopic eyes were prevalent among the normal-tension glaucoma group. When eyes with more than 4 diopters (D) of myopia were excluded from the analysis, the difference in prevalence and size of chorioscleral crescents and halos remained. Thus, the presence of a crescent correlates with disc damage, but further work is needed to determine if the correlation represents peripapillary atrophy that accompanies glaucomatous nerve atrophy or represents a greater susceptibility of discs with preexisting peripapillary abnormality.
Buus
D R
DR
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, FL 33101.
Anderson
D R
DR
D005260:Female; D005901:Glaucoma / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D009216:Myopia / Q000150:complications; D009798:Ocular Hypertension / Q000473:pathology*; D009898:Optic Disk / Q000473:pathology*; D010781:Photography