Ophthalmoscopy of the Retinal Nerve Fiber Layer

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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.

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