There is a growing clinical evidence that early glaucomatous damage involves the macula. The anatomical basis of this damage can be studied by measuring the local thickness of RNFL and GCL+ layer. Macular damage is typically arcuate in nature and often associated with local RNFL thinning in a narrow region of the disc, “the macular vulnerability zone”. According to Donald Hood PhD's studies, most of the inferior region of the macula projects to the MVZ, which is located largely in the inferior quadrant of the disc, a region that is particularly susceptible to glaucomatous damage. We are going to explore and understand the relationship between anatomical and functional changes in glaucoma and the way the topographic approach with widefield OCT scans gives more insights about the pathology than the usual color-metric based diagnostic.
Lecturer: Dr. Jose Mendoza, Ophthalmologist, Lima, Peru