Green disease in optical coherence tomography diagnosis of glaucoma

Mohamed S. Sayed, Michael Margolis, Richard K Lee

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Purpose of review Optical coherence tomography (OCT) has become an integral component of modern glaucoma practice. Utilizing color codes, OCT analysis has rendered glaucoma diagnosis and follow-up simpler and faster for the busy clinician. However, green labeling of OCT parameters suggesting normal values may confer a false sense of security, potentially leading to missed diagnoses of glaucoma and/or glaucoma progression. Recent findings Conditions in which OCT color coding may be falsely negative (i.e., green disease) are identified. Early glaucoma in which retinal nerve fiber layer (RNFL) thickness and optic disc parameters, albeit labeled green, are asymmetric in both eyes may result in glaucoma being undetected. Progressively decreasing RNFL thickness may reveal the presence of progressive glaucoma that, because of green labeling, can be missed by the clinician. Other ocular conditions that can increase RNFL thickness can make the diagnosis of coexisting glaucoma difficult. Recently introduced progression analysis features of OCT may help detect green disease. Summary Recognition of green disease is of paramount importance in diagnosing and treating glaucoma. Understanding the limitations of imaging technologies coupled with evaluation of serial OCT analyses, prompt clinical examination, and structure-function correlation is important to avoid missing real glaucoma requiring treatment.

Original languageEnglish (US)
Pages (from-to)139-153
Number of pages15
JournalCurrent Opinion in Ophthalmology
Volume28
Issue number2
DOIs
StatePublished - Mar 1 2017

Fingerprint

Optical Coherence Tomography
Glaucoma
Nerve Fibers
Color
Optic Disk
Reference Values
Technology

Keywords

  • glaucoma
  • green disease
  • optical coherence tomography

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Green disease in optical coherence tomography diagnosis of glaucoma. / Sayed, Mohamed S.; Margolis, Michael; Lee, Richard K.

In: Current Opinion in Ophthalmology, Vol. 28, No. 2, 01.03.2017, p. 139-153.

Research output: Contribution to journalReview article

Sayed, Mohamed S. ; Margolis, Michael ; Lee, Richard K. / Green disease in optical coherence tomography diagnosis of glaucoma. In: Current Opinion in Ophthalmology. 2017 ; Vol. 28, No. 2. pp. 139-153.
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