Disc photography and Heidelberg retinal tomography documentation of reversal of cupping following trabeculectomy.
BACKGROUND
Reversal of cupping is a widely recognized phenomenon. However, whether or not functional improvement is associated with reversal of cupping is controversial. There has not been any documentation in the literature of reversal of cupping with accompanying Heidelberg Retinal Tomograph (HRT) images and visual field (VF) changes at each time point.


METHODS
Case report based on one patient.


RESULTS
Reversible cupping was seen following a dramatic reduction of IOP post-trabeculectomy, which was associated with an improved HRT but unchanged VF.


CONCLUSIONS
This case documents reversal of cupping with VF and HRT testing accompanying the disc photos at each time point. Despite improvement in disc appearance and on structural testing, functional testing was unchanged.
Toronto Western Hospital, University of Toronto, 399 Bathurst Street, East Wing 6-405, Toronto, Ontario, M5T 2S8, Canada.
Darana
D
Yuen
Yvonne M
YM
Buys
D015812:Glaucoma, Angle-Closure / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000503:physiopathology*; D010781:Photography; D014054:Tomography; D014130:Trabeculectomy; D014792:Visual Acuity / Q000502:physiology; D014794:Visual Fields / Q000502:physiology