The four of us are back with a Halloween edition episode, where we share a step-by-step approach to managing optic nerve pallor in our patients. We review causes of optic nerve pallor, tests to perform in-office, and ordering additional work-up tests. 

Resources:

1. Osaguona VB. Differential diagnoses of the pale/white/atrophic disc. Community Eye Health. 2016;29(96):71-74.

2. Modern OD Article: When the Diagnosis is Not Glaucoma by Danica Marrelli, OD, FAAO. https://modernod.com/articles/2020-apr/when-the-diagnosis-is-not-glaucoma?c4src=article:infinite-scroll

3. Covalent Careers Course: An Introduction to Traumatic Optic Neuropathy by Kevin Cornwell, OD. https://covalentcareers.com/resources/traumatic-optic-neuropathy/

4. Yousefi S, Sakai H, Murata H, Fujino Y, et al. Asymmetric patterns of visual field defect in primary open-angle and primary angle-closure glaucoma. Invest Ophthalmol Vis Sci. 2018;59(3):1279-1287.

5. American Academy of Ophthalmology Eye Wiki: Optic Atrophy: https://eyewiki.aao.org/Optic_Atrophy#:~:text=Optic%20atrophy%20is%20a%20sign,vessels%20in%20the%20disc%20head.

6. Follow Dr. Rani Banik on Instagram @dr.ranibanik

7. Follow Dr. Rachael Wruble on Instagram @dr.eyegotthis