Glaucomatous cupping and raised IOP: sine qua non for glaucoma?

PURPOSE: To present selected cases that highlight the confusions in daily glaucoma practice.

METHODS

Four cases with raised or normal intraocular pressure (IOP) and definite glaucomatous cupping were investigated.

RESULTS

While raised IOP was found in non-glaucomatous etiologies, IOP was normal in established glaucoma in a young patient.

CONCLUSION

Raised IOP and glaucomatous cupping may not be pathognomonic of glaucoma and alternative etiology should be ruled out for appropriate management.