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Imaging the Posterior Pole in Glaucoma: Necessary But Not Sufficient

      The role of imaging in the diagnosis of glaucoma is unclear but of great clinical importance. The volume of glaucoma-related imaging performed has been increasing steadily despite a lack of firm evidence to support its usefulness.
      • Stein J.D.
      • Talwar N.
      • Laverne A.M.
      • et al.
      Trends in use of ancillary glaucoma tests for patients with open-angle glaucoma from 2001 to 2009.
      Regional differences in the volume of imaging in the United States suggest that there is no consensus about the indications for imaging.
      • Elam A.R.
      • Blachley T.S.
      • Stein J.D.
      Geographic variation in the use of diagnostic testing of patients with newly diagnosed open-angle glaucoma.
      The United States Food and Drug Administration and the American Glaucoma Society have discussed pertinent issues at a recent workshop.
      • Meier K.L.
      • Greenfield D.S.
      • Hilmantel G.
      • et al.
      Special commentary: Food and Drug Administration and American Glaucoma Society co-sponsored workshop: the validity, reliability, and usability of glaucoma imaging devices.
      • Jampel H.D.
      Imaging the optic nerve and posterior pole in glaucoma.
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      References

        • Stein J.D.
        • Talwar N.
        • Laverne A.M.
        • et al.
        Trends in use of ancillary glaucoma tests for patients with open-angle glaucoma from 2001 to 2009.
        Ophthalmology. 2012; 119: 748-758
        • Elam A.R.
        • Blachley T.S.
        • Stein J.D.
        Geographic variation in the use of diagnostic testing of patients with newly diagnosed open-angle glaucoma.
        Ophthalmology. 2016; 123: 522-531
        • Meier K.L.
        • Greenfield D.S.
        • Hilmantel G.
        • et al.
        Special commentary: Food and Drug Administration and American Glaucoma Society co-sponsored workshop: the validity, reliability, and usability of glaucoma imaging devices.
        Ophthalmology. 2014; 121: 2116-2123
        • Jampel H.D.
        Imaging the optic nerve and posterior pole in glaucoma.
        Ophthalmology. 2014; 121: 2079-2080
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        • Boachie C.
        • Bourne R.
        • et al.
        Can automated imaging for optic disc and retinal nerve fiber layer analysis aid glaucoma detection?.
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        Macular versus retinal nerve fiber layer parameters for diagnosing manifest glaucoma: a systematic review of diagnostic accuracy studies.
        Ophthalmology. 2016; 123: 939-949
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        Optic nerve head and fibre layer imaging for diagnosing glaucoma.
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