This patient has intraocular pressures of 25mmHg in each eye with only moderate optic nerve cupping (as shown by the “donut hole” in the center of the optic nerve in each of these photos). His corneas were pretty normal thickness indicating that the pressure read clinically was pretty correct. He has some risk of glaucoma and will be tested with an automated visual field test and possibly a measurement of his nerve fiber layer thickness using an optical coherence tomographer.
The photo below is of pavingstone degeneration in the same patient’s peripheral retina. This really does not affect the patient. I photographed it just because it’s an interesting thing to see for patients.