52yo female presented to her optometrist for a routine check. They found two Drance haemorrhages surrounding a nerve fibre layer defect. The diagnosis was ultimately normal tension glaucoma. Her intraocular pressures were 16 bilaterally. She had thin corneas, and a mild nasal step on computerised perimetry. There was no history of migraine, Raynaud?s or systemic hypotension. Initial treatment was with topical Xalatan, and subsequently Selective Laser Trabeculoplasty.