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Our outcomes suggest that OCT might be able to assess axonal loss after traumatic optic neuropathy. BMO-MRW measurement might be more sensitive than other analyses in the first two weeks after trauma and GCL might better monitor belated damage. Thus, it might be possible to combine all these sets of measurements to increase diagnostic sensitivity an specificity. We describe a patient with secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension. A 59 year-old male with pulmonary hypertension pre