An 18-year-old male is referred to you for possible glaucoma. While the measured intraocular pressures are normal at the time of your evaluation, 18mmHg right eye and 17mmHg left eye, the cup-to-disc ratio is noted to be abnormally large, around 0.6 in each eye by your visual estimate. To help further evaluate these optic nerves, you run an artificial intelligence (A.I.) assessment of the fundus photos.
The disc is large and the cup is large too. Myopia can be a differential diagnosis.
As shown in an image
1. It is clear fundus image so, image quality is good
2. Yes cup disc ratio looks disc suspect
3. Hence needed referal for further evaluation.