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A 62-year-old has unreliable 24-2 fields with high false positives, but OCT shows possible inferior RNFL thinning. The patient was anxious and clicked constantly. What is best?
Escalate to surgery based only on the unreliable field.
Repeat fields with coaching and correlate with disc/OCT before making major treatment decisions.
Ignore OCT forever.
Diagnose malingering.
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