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Use in Detection of Neurologic Disease

Nancy M. Newman, MD; Paul E. Tornambe, MD; James J. Corbett, MD

Arch Neurol. 1982;39(4):226-233.

Abstract
• Ophthalmoscopic examination of the retinal nerve fiber layer may demonstrate changes associated with a variety of diseases. These alterations are of four general types: slit or rake defects, sector atrophy, diffuse atrophy, and density changes in the nerve fibers themselves. With practice and the use of a bright source of "red-free" light, recognition of these alterations provides a bedside tool for evaluation of the anterior visual pathways.

Author Affiliations
From the Neuro-ophthalmology Division, Pacific Medical Center, San Francisco (Dr Newman); University of California at San Diego (Dr Tornambe); and the Department of Neurology, University of Iowa College of Medicine, Iowa City (Dr Corbett).

Footnotes
Accepted for publication April 20, 1981.

Reprint requests to Pacific Medical Center, PO Box 7999, San Francisco, CA 94120 (Dr Newman).

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