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Paradoxical thinning of the retinal nerve fiber layer after reversal of cupping: A case report of primary infantile glaucoma


1 Vanderbilt Eye Institute, Nashville, TN, USA
2 Department of Ophthalmology, University of Minnesota, Minneapolis, MN; University of Miami, Bascom Palmer Eye Institute, Miami FL, USA

Correspondence Address:
Ta Chen Chang,
2006 Broadway, Apt 301, Nashville, TN 37203
USA
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Source of Support: None, Conflict of Interest: None

The circumpapillary retinal nerve fiber layer (RNFL) thickness was assessed by spectral domain optical coherent tomography (SD-OCT) before and after surgical reduction of intraocular pressure in an eye with primary infantile glaucoma. In this case, a postoperative reduction of cupping and a subsequent increase in neuroretinal rim area is associated with a paradoxical thinning of the RNFL. This is the first-known characterization of cupping reversal using SD-OCT.


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    -  Chang TC
    -  Grajewski AL
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