Glaucoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical Examination

Skin

There may be a grey discoloration of the nail beds.

Eyes

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  0.5 to 0.9 cup-to-disk ratio. Increase seen with open angle glaucoma.
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  Glaucoma
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  A normal range of vision. Courtesy NIH National Eye Institute
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  The same view with advanced vision loss from glaucoma.

Screening for glaucoma is usually performed as part of a comprehensive eye examination performed by ophthalmologists and optometrists. Assessment for glaucoma consists of two branches of tests: structural and functional. Structural analysis investigates glaucomatous changes in the eye's anatomical and physiological properties, whereas functional analysis involves psychometric testing to evaluate how glaucomatous disease has affected the eye's ability to function normally. Specific examples are as follows: