retinal ganglion axon bakal masuk semua ke optic disc

nrr = neuro retinal rem

isinya intrapapilary extension of nervous tissue or retina to optic disc

optic cup tu cekung gtu, optic disk ga cekung

jadi kaya oval gitu secara vertical, tapi cup nya horizontal
kalo cup nya udah vertically oval berati udah glaucomal damage artinya dia
udah loss of NRR yang superior dan inferior
kalo glial support dikit dan dia bisa bikin lebih damage, sup inf —

glaucoma lamina cribosa adalah main site of glaucomatous damage

blood supply
retinal = central retinal arteey - through retrilacrimnal part onh dan snfl
ciliary = short posterior siliary arteries, all kecuali snfl
chort post ciliar art tu dia end arteria — kalo iskemia - ganggu perfusion -
kalo glaucoma dia bakal nururin perfusi trs nurunin optical blood flow
catetan buat gambar bawah
siperior arcuata fibers
inferior arcuata fibers
superior/inferior nasal radial fibers
————————
jadi, ada 2 teori glaucoma. mechanical dan vascular theory
apoptosis ganglion cell tu tujuan dr glaucoma
papilary = size, shape, NRR, color, asimetric of disc

1.size
2. shape

high miopia bisa punya banyak scar gtu

kadang yang bingungin limitation of optic disc = sceral ring (jangan diitung)
3. NRR, ‘isnt’ tu bukan pertanda glaucoma, yg jadi petanda glaucoma tu
kalo udah terjadi elongation verticali of the cup ‘pathological cupping’ of
glaucoma
rim diameter atau contur of diamter is matters

artitic icemic optic neuropathy AION

COLABOMA
MORNING SYNDROM apa laj

coping ga khusus glaucoma dia sbnrnya bs macem2

notch = ekskavasion
deeply excavated cup.glaucoma optic atropy.
4. color

healthy pink color as normal nrr

cup is paller karna ada glial

cupping makin gede makin pallor

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MENIT KE 45 https://www.youtube.com/watch?v=umGcDuVMPrE
https://www.slideshare.net/PragatiJain15/glaucoma-optic-disc-changes