Computer-assisted optic nerve head assessment.

An IBM-compatible microcomputer-based system has been developed for the assessment of pallor area size, shape and degree of pallor in the optic nerve head. The system allows the instantaneous capture of optic nerve head images, and software analysis of these images produces measurements of the pallor area in about 2 min. The various methods of image analysis are presented. These are enhancement, thresholding, and digital filtering for edge detection. The results of their application to the images of the optic nerve head are shown. The results of the system's analysis on a particular optic nerve head are also shown. The potential uses and difficulties of such a system are discussed.