optic disc ratio

[Bruce24]

Saw my Eye doctor few weeks ago. Said my optic disc was little big in the both eye (about .6)
But said my optic nerves were healthy and my visual field test were normal and my eye pressure was normal.
What can cause this for me to have this? Can people get gluacoma with normal pressure and enlarge optic disc ratio?
If someone has gluacoma with enlarged optic nerve but with normal pressure. How do you treat that?

[John C Hagan III, MD, FACS, FAAO]

1. C/D ratios are very hard to estimate.  What usually is done is a picture (3-D) is taken of the optic disk and then checked yearly against the photo.
3. You should continue with the Eye MD that you feel most comfortable with.
4. titled disks are harder than normal to judge c/d

JCH MD

[Bruce24]

Dr. Hagan,

Did you see my last 2 post? Thank you Sir for your work.

[Bruce24]

I forgot to mention one of my Dr. said my optic nerve was sligthly tilted.

[Bruce24]

I've seen 3 ophthalmologist in the last 2 months. All I said I have normal visual field test, pressure, and healthy nerves. The problem is everyone said I different size optic disc ratio
.3,.6,.4. Why is that? Can I have still gluacoma with enlarged disc even though all my exams were normal? 2 out of 3 said I didn't it but the 3rd thought I might be a suspect.
Really frustrating!!

[John C Hagan III, MD, FACS, FAAO]

1. Your "eye doctor" should be a MD ophthalmologist physician. IF not then you need to see one. Find one near you at www.aao.org
2. a cup/disk ration of .6 makes it more difficult to detect early signs of glaucoma.
3. The question is has it always been this way or at one time was you c/d  .3 and did glaucoma cause it to increase.
4. Glaucoma is a complex groups of diseases and cannot be diagnosed solely from the cup/disk ratio or intraocular pressure. That's why its important to see a MD physician ophthalmologist and not an optometrist for glaucoma diagnsosis and treatment.

JCHMD