Disc photography and heidelberg retinal tomography documentation of reversal of cupping following trabeculectomy

Reversal of cupping is a widely recognized phenomenon. However, whether or not functional improvement is associated with reversal of cupping is controversial. There has not been any documentation in the literature of reversal of cupping with accompanying Heidelberg Retinal Tomograph (HRT) images and visual field (VF) changes at each time point. Case report based on one patient. Reversible cupping was seen following a dramatic reduction of IOP post-trabeculectomy, which was associated with an improved HRT but unchanged VF. This case documents reversal of cupping with VF and HRT testing accompanying the disc photos at each time point. Despite improvement in disc appearance and on structural testing, functional testing was unchanged.