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Ocular Pathology E-Book

Ocular Pathology E-Book

Myron Yanoff | Joseph W. Sassani

(2014)

Additional Information

Book Details

Abstract

Comprehensive, yet concise and clinically oriented, the new edition of Ocular Pathology brings you the very latest advances of every aspect of ocular pathology. From updated information on today’s imaging techniques, to the implementation of genetic data to better understand disease, this esteemed medical reference book promises to keep you at the forefront of your field.

  • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
  • Take advantage of clinical "pearls" that offer you the benefits of proven strategies.
  • Quickly reference information with help from a convenient outline format, ideal for today’s busy physician.
  • Visualize every concept by viewing 1,900 illustrations, 1,600 of which are in full color, from the collections of internationally renowned leaders in ocular pathology.
  • Understand the role of VEGF and other factors in the pathobiology of diabetic complications, as well as the pathobiology of myocilin and the TIGR gene in the development of glaucoma.
  • Review the latest features related to the pathobiology of central corneal thickness.
  • Stay abreast of the latest in ocular pathology with coverage of the classification system for retinoblastoma; immunopathology of herpes keratitis; and genetic features of persistent hyperplastic primary vitreous.

Table of Contents

Section Title Page Action Price
Front cover cover
Ocular Pathology i
Copyright page iv
Table of Contents v
Foreword vi
Forewords to the First Edition viii
Preface x
Dedication xii
1 Basic Principles of Pathology 1
Inflammation 1
Definition 1
Causes 1
Phases of Inflammation (Table 1.1) 1
Staining Patterns of Inflammation 14
Immunobiology 16
Background 16
Cellular Immunity (Delayed Hypersensitivity) 19
Humoral Immunoglobulin (Antibody) 19
Immunohistochemistry 19
Immunodeficiency Diseases 21
Transplantation Terminology 24
Cellular and Tissue Reactions 24
Hypertrophy 24
Hyperplasia 24
Aplasia 25
Hypoplasia 25
Metaplasia 25
Atrophy 25
Dysplasia 25
Neoplasia 25
Degeneration and Dystrophy 25
Necrosis (Table 1.9) 26
Apoptosis 26
Calcification 27
Autolysis and Putrefaction 27
Pigmentation 27
Growth and Aging 28
Bibliography 28.e1
Inflammation 28.e1
Immunobiology 28.e1
Cellular and Tissue Reactions 28.e3
2 Congenital Anomalies 29
Phakomatoses (Disseminated Hereditary Hamartomas) 29
General Information 29
Angiomatosis Retinae [von Hippel’s Disease (VHL)] 29
Meningocutaneous Angiomatosis [Encephalotrigeminal Angiomatosis; Sturge–Weber Syndrome (SWS)] 30
Neurofibromatosis (Figs. 2.3–2.5) 31
Tuberous Sclerosis (Bourneville’s Disease; Pringle’s Disease) 35
Other Phakomatoses 36
Chromosomal Aberrations 36
Trisomy 8 36
Trisomy 13 (47,13+; Patau’s Syndrome) 36
Trisomy 18 (47,18+; Edwards’ Syndrome) 38
Trisomy 21 (47,21+; Down’s Syndrome; Mongolism) 39
Triploidy 39
Chromosome 4 Deletion Defect 39
Chromosome 5 Deletion Defect (46,5p–; Cri du Chat Syndrome) 39
Chromosome 11 Deletion Defect 40
Chromosome 13 Deletion Defect 40
Chromosome 17 Deletion (17p11.2; Smith–Magenis Syndrome) 40
Chromosome 18 Deletion Defect (46,18p–; 46,18q–; or 46,18r; Partial 18 Monosomy (Fig. 2.10) 40
Chromosome 47 Deletion Defect 40
Mosaicism 40
Infectious Embryopathy 41
Congenital Rubella Syndrome (Gregg’s Syndrome) 41
Cytomegalic Inclusion Disease 44
Congenital Syphilis 44
Toxoplasmosis 44
Drug Embryopathy 44
Fetal Alcohol Syndrome (FAS) (Fig. 2.14) 44
Thalidomide 44
Lysergic Acid Diethylamide (LSD) (Fig. 2.15) 44
Other Congenital Anomalies 44
Cyclopia and Synophthalmos 44
Anencephaly 45
Anophthalmos (Fig. 2.17) 47
Microphthalmos 47
Walker–Warburg Syndrome 48
Oculocerebrorenal Syndrome of Miller 49
Subacute Necrotizing Encephalomyelopathy (Leigh’s Disease) 49
Meckel’s Syndrome (Dysencephalia Splanchnocystica; Gruber’s Syndrome) 50
Potter’s Syndrome 50
Menkes’ Kinky-Hair Disease 50
Aicardi’s Syndrome 50
Ectrodactyly–Ectodermal Dysplasia (EEC) 51
Trichothiodystrophy (TD) 51
Dwarfism 51
Other Syndromes 52
Bibliography 52.e1
Angiomatosis Retinae 52.e1
Meningocutaneous Angiomatosis 52.e1
Neurofibromatosis 52.e1
Tuberous Sclerosis 52.e1
Other Phakomatoses 52.e2
Chromosomal Trisomy Defects 52.e2
Triploidy and Chromosomal Deletion Abnormalities 52.e2
Chromosomal Deletion Defects 52.e2
Mosaicism 52.e3
Infectious Embryopathy 52.e3
Drug Embryopathy 52.e3
Other Congenital Anomalies 52.e3
3 Nongranulomatous Inflammation: 53
Definition 53
Classification 53
Terminology 53
Sources of Inflammation 53
Suppurative Endophthalmitis and Panophthalmitis 53
Clinical Features 53
Classification 54
Histology 55
Examples 55
Nonsuppurative, Chronic Nongranulomatous Uveitis and Endophthalmitis 57
Clinical Features 57
Classification 57
Examples 57
Sequelae of Uveitis, Endophthalmitis, and Panophthalmitis 62
Cornea 62
Anterior Chamber 63
Iris 63
Lens 64
Ciliary Body 64
Vitreous Compartment 64
Choroid 65
Retina 65
Glaucoma 65
End Stage of Diffuse Ocular Diseases 65
Bibliography 66.e1
Suppurative Endophthalmitis and Panophthalmitis 66.e1
Nonsuppurative, Chronic Nongranulomatous Uveitis and Endophthalmitis 66.e1
Sequelae of Uveitis, Endophthalmitis, and Panophthalmitis 66.e2
4 Granulomatous Inflammation 67
Introduction 67
Post-Traumatic 67
Sympathetic Uveitis [Sympathetic Ophthalmia (SO), Sympathetic Ophthalmitis] 67
Phacoanaphylactic (Phacoimmune, Phacoantigenic, or Phacogenic) Endophthalmitis 69
Foreign-Body Granulomas 70
Nontraumatic Infections 70
Viral 70
Bacterial 73
Fungal 78
Parasitic 81
Nontraumatic Noninfectious 86
Sarcoidosis (Figs. 4.21–4.26) 86
Granulomatous Scleritis 87
Chalazion 89
Xanthogranulomas (Juvenile Xanthogranuloma and Langerhans’ Granulomatoses; Histiocytosis X) 89
Granulomatous Reaction to Descemet’s Membrane 89
Chédiak–Higashi Syndrome 89
Allergic Granulomatosis and Midline Lethal Granuloma Syndrome 89
Weber–Christian Disease (Relapsing Febrile Nodular Nonsuppurative Panniculitis) 89
Vogt–Koyanagi–Harada Syndrome (Uveomeningoencephalitic Syndrome) 89
Familial Chronic Granulomatous Disease of Childhood 90
Bibliography 91.e1
Sympathetic Uveitis 91.e1
Phacoanaphylactic Endophthalmitis 91.e1
Foreign-Body Granulomas 91.e1
Viral 91.e1
Bacterial 91.e2
Fungal 91.e2
Parasitic 91.e3
Sarcoidosis 91.e4
Granulomatous Scleritis 91.e4
Granulomatous Reaction to Descemet’s Membrane 91.e4
Vogt–Koyanagi–Harada Syndrome 91.e4
Familial Chronic Granulomatous Disease of Childhood 91.e5
5 Surgical and Nonsurgical Trauma 93
Causes of Enucleation 93
Complications of Intraocular Surgery 93
Adult Cataract Surgery 93
Immediate 93
Postoperative 97
Congenital Cataract Surgery 103
Delayed 103
Complications of Neural Retinal Detachment and Vitreous Surgery 111
Immediate 111
Postoperative 113
Delayed 116
Complications of Corneal Surgery 118
Endothelial Transplant Procedures 118
Introduction 118
Penetrating Keratoplasty (Graft) 118
Other Refractive Keratoplasties 120
Complications of Glaucoma Surgery 121
Complications of Nonsurgical Trauma 122
Contusion 122
Penetrating and Perforating Injuries 134
Intraocular Foreign Bodies 135
Chemical Injuries 138
Burns 140
Ocular Effects of Injuries to Other Parts of the Body 141
Radiation Injuries (Electromagnetic) 144
Bibliography 145.e1
Causes of Enucleation 145.e1
Complications of Intraocular Surgery 145.e1
Complications of Retinal Detachment and Vitreous Surgery 145.e5
Complications of Corneal Surgery 145.e6
Complications of Glaucoma Surgery 145.e8
Complications of Nonsurgical Trauma 145.e8
6 Skin and Lacrimal Drainage System 147
Skin 147
Normal Anatomy (Figs. 6.1 and 6.2) 147
Epidermis 147
Dermis 147
Subcutaneous Tissue 147
Terminology 147
Orthokeratosis and Parakeratosis 147
Acanthosis 147
Dyskeratosis 149
Acantholysis 149
Bulla 149
Atrophy 150
Atypical Cell 150
Leukoplakia 150
Polarity 150
Congenital Abnormalities 150
Dermoid and Epidermoid Cysts 150
Phakomatous Choristoma 150
Miscellaneous Choristomas and Hamartomas 150
Cryptophthalmos (Ablepharon) 151
Microblepharon 151
Coloboma 152
Epicanthus 152
Ectopic Caruncle 152
Lid Margin Anomalies 152
Eyelash Anomalies 152
Ptosis 153
Ichthyosis Congenita 153
Xeroderma Pigmentosum 154
Aging 154
Atrophy 154
Senile Ectropion and Entropion 154
Dermatochalasis 155
Herniation of Orbital Fat 155
Floppy-Eyelid Syndrome 155
Inflammation 155
Terminology 155
Viral Diseases 158
Bacterial Diseases 160
Fungal and Parasitic Diseases 160
Lid Manifestations of Systemic Dermatoses or Disease 161
Ichthyosis Congenita 161
Xeroderma Pigmentosum 161
Pemphigus 161
Ehlers–Danlos Syndrome (“India-Rubber Man”) 161
Cutis Laxa 162
Pseudoxanthoma Elasticum 162
Erythema Multiforme 163
Toxic Epidermal Necrolysis 163
Epidermolysis Bullosa 163
Contact Dermatitis 164
Collagen Diseases 164
Granulomatous Vasculitis 166
Vasculitis-Like Disorders and Leukemia/Lymphoma 166
Xanthelasma 168
Necrobiotic Xanthogranuloma 169
Juvenile Xanthogranuloma 169
Amyloidosis 169
Malignant Atrophic Papulosis (Degos’ Disease) 169
Calcinosis Cutis 169
Lipoid Proteinosis (Urbach–Wiethe Disease) 169
Idiopathic Hemochromatosis 171
Relapsing Febrile Nodular Nonsuppurative Panniculitis (Weber–Christian Disease) 171
Pigmentation 171
Cysts, Pseudoneoplasms, and Neoplasms 171
Benign Cystic Lesions 171
Benign Tumors of the Surface Epithelium 174
Precancerous Tumors of the Surface Epithelium 178
Cancerous Tumors of the Surface Epithelium 179
Tumors of the Epidermal Appendages (Adnexal Skin Structures) 183
Merkel Cell Carcinoma (Neuroendocrine Carcinoma, Trabecular Carcinoma) (Fig. 6.42) 191
Malacoplakia 192
Pigmented Tumors 192
Mesenchymal Tumors 193
Metastatic Tumors 193
Lacrimal Drainage System 193
Normal Anatomy (Fig. 6.43) 193
Congenital Abnormalities 194
Atresia of the Nasolacrimal Duct 194
Atresia of the Punctum 194
Congenital Fistula of Lacrimal Sac (Minimal Facial Fissure) 194
Inflammation—Dacryocystitis (Fig. 6.44) 194
Blockage of Tear Flow into the Nose 194
Tumors 196
Epithelial 196
Melanotic 197
Mesenchymal 197
Miscellaneous 197
Bibliography 197.e1
Skin 197.e1
Congenital Abnormalities 197.e1
Inflammation 197.e2
Lid Manifestations of Systemic Dermatoses or Disease 197.e2
Cysts, Pseudoneoplasms, and Neoplasms 197.e4
Lacrimal Drainage System 197.e7
Congenital Abnormalities 197.e7
Inflammation 197.e7
Tumors 197.e8
7 Conjunctiva 199
Normal Anatomy 199
Congenital Anomalies 201
Cryptophthalmos (Ablepharon) 201
Epitarsus 201
Hereditary Hemorrhagic Telangiectasia (Rendu–Osler–Weber Disease) 201
Ataxia–Telangiectasia (Louis–Bar Syndrome) 201
Congenital Conjunctival Lymphedema (Milroy’s Disease, Nonne–Milroy–Meige Disease) 201
Dermoids, Epidermoids, and Dermolipomas 201
Laryngo-Onycho-Cutaneous (LOC or Shabbir) Syndrome 201
Vascular Disorders 201
Sickle-Cell Anemia 201
Conjunctival Hemorrhage (Subconjunctival Hemorrhage) 201
Lymphangiectasia 202
Lymphangiectasia Hemorrhagica Conjunctivae 202
Ataxia–Telangiectasia 202
Diabetes Mellitus 202
Hemangioma and Lymphangioma 202
Inflammation 202
Basic Histologic Changes 202
Specific Inflammations 207
Infectious 207
Noninfectious 208
Injuries 210
Conjunctival Manifestations of Systemic Disease 211
Deposition of Metabolic Products 211
Deposition of Drug Derivatives 211
Vitamin A Deficiency: Bitot’s Spot 211
Sjögren’s Syndrome 211
Skin Diseases 211
Degenerations 211
Xerosis 211
Pterygium 212
Pinguecula 212
Lipid Deposits 212
Amyloidosis 213
Conjunctivochalasis 216
Cysts, Pseudoneoplasms, and Neoplasms 216
Choristomas 216
Hamartomas 216
Cysts 216
Pseudocancerous Lesions 216
Potentially Precancerous Epithelial Lesions 219
Cancerous Epithelial Lesions 219
Pigmented Lesions of the Conjunctiva 223
Stromal Neoplasms 224
Bibliography 225.e1
Normal Anatomy 225.e1
Congenital Anomalies 225.e1
Vascular Disorders 225.e1
Inflammation 225.e1
Conjunctival Manifestations of Systemic Disease 225.e3
Degenerations 225.e3
Cysts, Pseudoneoplasms, and Neoplasms 225.e4
8 Cornea and Sclera 227
Cornea 227
Normal Anatomy 227
Congenital Defects 229
Absence of Cornea 229
Abnormalities of Size 229
Aberrations of Curvature 230
Congenital Corneal Opacities 230
Clinicopathologic Types—General 230
Clinicopathologic Types—Specific 231
Inflammations—Nonulcerative 237
Epithelial Erosions and Keratitis 237
Subepithelial Keratitis 238
Superior Limbic Keratoconjunctivitis 238
Stromal (Interstitial) Keratitis 238
Endothelial 241
Inflammations—Ulcerative 241
Peripheral 241
Central 242
Inflammations—Corneal Sequelae 245
Injuries 245
Degenerations 246
Epithelial 246
Stromal 248
Endothelial 257
Dystrophies and Simulating Disorders 257
Introduction 257
Classification of Dystrophies 257
True Corneal Dystrophies 257
Primary in the Cornea 257
Pigmentations 286
Melanin 286
Blood 287
Iron Lines 287
Kayser–Fleischer Ring 287
Tattoo 287
Drug-Induced 289
Infections 289
Crystals 289
Neoplasm 291
Sclera 291
Congenital Anomalies 291
Blue Sclera 291
Ochronosis (Alkaptonuria) 292
Inflammations 292
Episcleritis 292
Scleritis (Fig. 8.63) 293
Tumors 295
Fibromas 295
Nodular Fasciitis 296
Hemangiomas 296
Neurofibromas 296
Contiguous Tumors 296
Conjunctival Tumors 296
Episcleral Osseous Choristoma and Episcleral Osseocartilaginous Choristoma 296
Ectopic Lacrimal Gland 296
Bibliography 297.e1
Cornea 297.e1
Congenital Defects 297.e1
Inflammation: Corneal Sequelae 297.e3
Inflammations: Nonulcerative 297.e3
Inflammations: Ulcerative 297.e4
Degenerations: Epithelial 297.e5
Degenerations: Stromal 297.e5
Dystrophies: Introduction and Classification 297.e6
Dystrophies: Epithelial and Subepithelial 297.e6
Dystrophies: Bowman’s Membrane 297.e7
Dystrophies: Stroma 297.e7
Dystrophies: Descemet Membrane and Endothelial 297.e10
Nonheredofamilial Dystrophy-Like Syndromes 297.e11
Pigmentations 297.e12
Crystals 297.e12
Neoplasm 297.e13
Sclera 297.e13
Congenital Anomalies 297.e13
Inflammations 297.e13
Tumors 297.e14
9 Uvea 299
Normal Anatomy 299
Congenital and Developmental Defects 299
Persistent Pupillary Membrane 299
Persistent Tunica Vasculosa Lentis 300
Heterochromia Iridis and Iridum 300
Hematopoiesis 300
Ectopic Intraocular Lacrimal 302
Gland Tissue 302
Congenital and Developmental Defects of the Pigment Epithelium 302
Aniridia (Hypoplasia) of the Iris 302
Ectropion Uveae (Hyperplasia of Iris Pigment Border or Seam) 302
Peripheral Dysgenesis of the Cornea and Iris 302
Coloboma 302
Cysts of the Iris and Anterior Ciliary Body (Pars Plicata) 305
Cysts of the Posterior Ciliary Body (Pars Plana) 306
Inflammations 306
Injuries 306
Systemic Diseases 306
Diabetes Mellitus 306
Vascular Diseases 307
Cystinosis 307
Homocystinuria 307
Amyloidosis 307
Juvenile Xanthogranuloma (Nevoxanthoendothelioma) 307
Langerhans’ Granulomatoses (Histiocytosis X) 308
Collagen Diseases 308
Mucopolysaccharidoses 309
Atrophies and Degenerations 309
Iris Neovascularization (Rubeosis Iridis) 309
Choroidal Folds 311
Heterochromia 311
Macular Degeneration 311
Dystrophies 311
Iris Nevus Syndrome 311
Chandler’s Syndrome 311
Essential Iris Atrophy 311
Iridoschisis 311
Choroidal Dystrophies 311
Tumors 314
Epithelial 314
Muscular 314
Vascular 315
Osseous 316
Melanomatous 316
Leukemic and Lymphomatous 318
Other Tumors 320
Secondary Neoplasms 320
Uveal Edema (Uveal Detachment; Uveal Hydrops) 321
Types 321
Bibliography 321.e1
Normal Anatomy 321.e1
Congenital and Developmental Defects 321.e1
Systemic Diseases 321.e1
Atrophies and Degenerations 321.e2
Dystrophies 321.e2
Tumors 321.e2
Uveal Edema 321.e3
10 Lens 323
Normal Anatomy 323
General Information 323
Congenital Anomalies 323
Introduction 323
Mittendorf’s Dot 324
Congenital Aphakia 324
Congenital Duplication of Lens 324
Fleck Cataract 324
Anterior Polar Cataract 325
Posterior Polar Cataract 326
Anterior Lenticonus (Lentiglobus) 326
Posterior Lenticonus (Lentiglobus) 327
Other Congenital Cataracts 327
Capsule (Epithelial Basement Membrane) 327
General Reactions 327
Exfoliation of the Lens Capsule 330
Pseudoexfoliation Syndrome (Pseudoexfoliation of Lens Capsule, Exfoliation Syndrome, Basement Membrane Exfoliation Syndrome, Fibrillopathia Epitheliocapsularis) (Figs. 10.8–10.11) 330
Epithelium 334
Proliferation and Migration of Epithelium 334
Anterior Subcapsular Cataract (ASC) (Figs. 10.12–10.15) 334
Posterior Subcapsular Cataract (PSC) (Figs. 10.16 and 10.17; See Fig. 10.15) 335
Elschnig’s Pearls (See Fig. 5.12) 336
Degeneration and Atrophy of the Epithelium 336
Cortex and Nucleus (Lens Cells or “Fibers”) 337
Cortex (“Soft Cataract”) 337
Nucleus (“Hard Cataract”) 341
Age-Related (Senile) Cataracts 342
Secondary Cataracts 342
Intraocular Disease 342
Trauma 343
Toxic 343
Endocrine, Metabolic, and Others 343
Complications of Cataracts 343
Glaucoma 343
Phacoanaphylactic Endophthalmitis 345
Ectopic Lens 345
Congenital 345
Bibliography 349.e1
Normal Anatomy 349.e1
General Information 349.e1
Congenital Anomalies 349.e1
Capsule 349.e2
Epithelium 349.e2
Cortex and Nucleus 349.e2
Secondary Cataracts 349.e3
Complications of Cataracts 349.e3
Ectopic Lens 349.e3
11 Neural (Sensory) Retina 351
Normal Anatomy 351
Congenital Anomalies 352
Albinism (Fig. 11.4) 352
Grouped Pigmentation (Bear Tracks) 353
Coloboma 355
Retinal Dysplasia 355
Lange’s Fold 355
Congenital Nonattachment of the Retina 355
Neural Retinal Cysts 355
Myelinated (Medullated) Nerve Fibers 356
Oguchi’s Disease 356
Foveomacular Abnormalities 357
Leber’s Congenital Amaurosis 357
Inherited Retinal Arteriolar Tortuosity 357
Vascular Diseases 357
Definitions 357
Retinal Ischemia 358
Causes 358
Complications of Retinal Ischemia 360
Histology of Retinal Ischemia 360
Retinal Hemorrhagic Infarction (Fig. 11.12) 362
Causes and Risk Factors of Hemorrhagic Infarction 362
Types of Hemorrhagic Infarction 363
Complications of Hemorrhagic Infarction 364
Histology of Retinal Hemorrhagic Infarction (See Fig. 11.12) 366
Hypertensive and Arteriolosclerotic Retinopathy 366
Hemorrhagic Retinopathy 367
Exudative Retinopathy 368
Diabetes Mellitus 368
Coats’ Disease, Leber’s Miliary Aneurysms, and Retinal Telangiectasia 368
Idiopathic Macular Telangiectasia (Idiopathic Juxtafoveolar Retinal Telangiectasis) 368
Retinal Arterial and Arteriolar Macroaneurysms 369
Sickle-Cell Disease 369
Eales’ Disease (Primary Perivasculitis of the Retina) 371
Retinopathy of Prematurity 371
Hemangioma of the Retina 371
Hereditary Hemorrhagic Telangiectasia (Rendu–Osler–Weber Disease) 371
Disseminated Intravascular Coagulation 371
Inflammations 372
Nonspecific Retinal Inflammations 372
Specific Retinal Inflammations (See Chapters 2–4) 372
Injuries 375
Degenerations 375
Definitions 375
Microcystoid Degeneration 375
Degenerative Retinoschisis 377
Secondary Microcystoid Degeneration and Retinoschisis 378
Paving Stone (Cobblestone) Degeneration (Peripheral Chorioretinal Atrophy; Equatorial Choroiditis) 378
Peripheral Retinal Albinotic Spots 379
Myopic Retinopathy 379
Macular Degeneration 380
Idiopathic Serous Detachment of the RPE (Fig. 11.25) 380
Idiopathic Central Serous Choroidopathy (Central Serous Retinopathy; Central Angiospastic Retinopathy) (See Fig. 11.25) 380
Drusen 381
Dry Age-Related Macular Degeneration (Dry, Atrophic, or Senile Atrophic Macular Degeneration) 384
Age-Related Exudative Macular Degeneration (Exudative, Wet, or Senile Disciform Macular Degeneration; Kuhnt–Junius Macular Degeneration) 386
Exudative Macular Degeneration Secondary to Focal Choroiditis (Juvenile Disciform Degeneration of the Macula) 388
Idiopathic Polypoidal Choroidal Vasculopathy 390
Cystoid Macular Edema (Irvine–Gass Syndrome) 390
Toxic Retinal Degenerations 390
Postirradiation Retinopathy 392
Bone Marrow Transplant Retinopathy 392
Cancer-Associated Retinopathy (Paraneoplastic Syndrome; Paraneoplastic Retinopathy; Paraneoplastic Photoreceptor Retinopathy; Melanoma-Associated Retinopathy) 392
Idiopathic Macular Holes 393
Light Energy Retinopathy 393
Traumatic Retinopathy 393
Hereditary Primary Retinal Dystrophies 393
Definitions 393
Juvenile Retinoschisis (Vitreous Veils; Congenital Vascular Veils; Cystic Disease of the Retina; Congenital Retinal Detachment) 393
Choroidal Dystrophies 396
Stargardt’s Disease (Fundus Flavimaculatus) 396
Dominant Drusen of Bruch’s Membrane 398
Doyne’s Honeycomb Dystrophy; Malattia Lèventinese; Hutchinson–Tay Choroiditis; Guttate Choroiditis; Holthouse–Batten Superficial Choroiditis; Family Choroiditis; Crystalline Retinal Degeneration; Iridescent Crystals of the Macula; Hyaline Dystrophies 398
Best Vitelliform Disease 398
Vitelliform Foveal Dystrophy; Vitelliform Macular Degeneration; Vitelliruptive Macular Degeneration; Exudative Central Detachment of the Retina—Macular Pseudocysts; Cystic Macular Degeneration; Exudative Foveal Dystrophy 398
Dominant Progressive Foveal Dystrophy 398
Dominant Cystoid Macular Dystrophy 399
Fenestrated Sheen Macular Dystrophy 399
North Carolina Macular Dystrophy 399
Familial Internal Limiting Membrane Dystrophy 400
Central Pigmentary Sheen Dystrophy 400
Cone–Rod Dystrophy 400
Annular Macular Dystrophy (Benign Concentric Annular Macular Dystrophy) 400
Retinitis Punctata Albescens (Albipunctate Dystrophy; Fundus Albipunctatus; Panretinal Degeneration) 400
Central Retinitis Pigmentosa (Central Retinopathia Pigmentosa; Retinopathia Pigmentosa Inversa; Retinitis Pigmentosa Inversa; Pericentral Pigmentary Retinopathy) 401
Retinitis Pigmentosa (Retinopathia Pigmentosa; Pigmentary Degeneration of the Retina) 401
Clumped Pigmentary Retinal Dystrophy (Clumped Pigmentary Retinal Degeneration) 402
Hereditary Pigmented Paravenous Chorioretinal Atrophy 404
Pigment Epithelial Dystrophy 404
Central Areolar Pigment Epithelial Dystrophy 404
Patterned Dystrophies of the Retinal Pigment Epithelium (Reticular Dystrophy or Sjögren Dystrophia Reticularis Laminae Pigmentosae Retinae; Butterfly-Shaped Pigment Dystrophy of the Fovea; Macroreticular or Spider Dystrophy) 404
Bietti’s Crystalline Dystrophy (Bietti’s Tapetoretinal Degeneration with Marginal Corneal Dystrophy, Crystalline Retinopathy) 404
Sorsby Fundus Dystrophy (Sorsby’s Pseudoinflammatory Macular Dystrophy; Hereditary Macular Dystrophy) 405
Autosomal-Dominant Occult Macular Dystrophy 406
Unilateral Retinal Pigment Epithelial Dysgenesis (URPED) 406
Hereditary Secondary Retinal Dystrophies 406
Angioid Streaks 406
Sjögren–Larsson Syndrome 406
Mucopolysaccharidoses 406
Mucolipidoses 406
Sphingolipidoses 407
Other Lipidoses 409
Disorders of Carbohydrate Metabolism 410
Primary Oxalosis (Fig. 11.41) 412
Osteopetrosis 413
Homocystinuria 413
Systemic Diseases Involving the Retina 413
Hereditary Secondary Retinal Dystrophies 413
Diabetes Mellitus 413
Hypertension and Arteriolosclerosis 413
Collagen Diseases 413
Blood Dyscrasias 413
Demyelinating Diseases 413
Tumors 413
Glia 413
Phakomatoses 418
Retinal Pigment Epithelium 418
Retinoblastoma and Pseudogliomas 418
Neural Retinal Metastases (Fig. 11.47) 418
Neural Retinal Detachment 419
Definitions 419
Major Causes 419
Classification of Neural Retinal Detachment 419
Predisposing Factors to Neural Retinal Detachment 421
Pathologic Changes after Neural Retinal Detachment 423
Pathologic Complications after Neural Retinal Detachment Surgery 425
Bibliography 425.e1
Normal Anatomy 425.e1
Congenital Anomalies 425.e1
Vascular Disease 425.e1
Inflammation 425.e2
Degenerations 425.e2
Hereditary Primary Retinal Dystrophies 425.e5
Hereditary Secondary Retinal Dystrophies 425.e7
Systemic Diseases Involving the Retina 425.e7
Tumors 425.e7
Retinal Detachment 425.e8
12 Vitreous 427
Normal Anatomy 427
Congenital Anomalies 427
Persistent Primary Vitreous 427
Persistent Hyperplastic Primary Vitreous (Persistent Fetal Vasculature) 427
Inflammation 429
Acute 429
Chronic 429
Vitreous Adhesions 430
Post Nonsurgical and Surgical Trauma 430
Postinflammation 430
Idiopathic 430
Vitreous Opacities 430
Hyaloid Vessel Remnants 430
Acquired Vitreous Strands and Floaters 430
Inflammatory Cells 430
Red Blood Cells 430
Iridescent Particles 431
Tumor Cells 432
Pigment Dust 433
Cysts 433
Retinal Fragments 433
Traumatic Avulsion of Vitreous Base 433
Vitreous Detachment 433
Proteinaceous Deposits 434
Amyloid 434
Familial Exudative Vitreoretinopathy 436
Autosomal-Dominant Vitreoretinochoroidopathy (ADVIRC; Peripheral Annular Pigmentary Dystrophy of the Retina) 436
Autosomal-Dominant Neovascular Inflammatory Vitreoretinopathy (ADNIV) 437
Erosive Vitreoretinopathy 437
Knobloch Syndrome 437
Vitreous Hemorrhage 437
Definitions 437
Causes 437
Complications 438
Bibliography 439.e1
Normal Anatomy 439.e1
Congenital Anomalies 439.e1
Vitreous Adhesions 439.e1
Vitreous Opacities 439.e1
Vitreous Hemorrhage 439.e2
13 Optic Nerve 441
Normal Anatomy 441
Congenital Defects and Anatomic Variations 441
Aplasia 441
Hypoplasia 444
Dysplasia 444
Anomalous Shape of Optic Disc and Cup 444
Congenital Crescent or Conus 444
Congenital (Familial) Optic Atrophies 445
Coloboma (Table 13.1) 446
Myopia 448
Optic Disc Edema 448
General Information (Fig. 13.7; see Fig. 13.22) 448
Causes 448
Pseudopapilledema 449
Histology of Optic Disc Edema 449
Optic Neuritis 450
Causes 450
Histology of Optic Neuritis 455
Optic Atrophy* 455
Causes 455
Histology of Optic Atrophy 457
Injuries 457
Tumors 457
Primary 457
Secondary 465
Bibliography 465.e1
Normal Anatomy 465.e1
Congenital Defects and Anatomic Variations 465.e1
Optic Disc Edema 465.e2
Optic Neuritis 465.e2
Optic Atrophy 465.e3
Tumors 465.e3
14 Orbit 467
Normal Anatomy 467
Exophthalmos 467
Developmental Abnormalities 469
Developmental Abnormalities of Bony Orbit 469
Microphthalmos with Cyst 469
Cephaloceles 469
Congenital Alacrima 469
Orbital Inflammation 469
Acute 469
Chronic 470
Injuries 472
Penetrating Wounds 472
Nonpenetrating Wounds 473
Vascular Disease 473
Primary 473
Part of Systemic Disease 473
Ocular Muscle Involvement in Systemic Disease 473
Graves’ Disease (Fig. 14.10) 473
Myasthenia Gravis 475
Myotonic Dystrophy (Myotonia Dystrophica; Steinert’s Disease) 475
Myotonia Congenita (Thomsen’s Disease) 476
Mitochondrial Myopathies 476
Dermatomyositis 477
Neoplasms and Other Tumors 477
Primary Orbital Tumors 477
Secondary Orbital Tumors 524
Bibliography 525.e1
Normal Anatomy 525.e1
Exophthalmos 525.e1
Developmental Abnormalities 525.e1
Orbital Inflammation 525.e1
Injuries 525.e1
Vascular Disease 525.e1
Ocular Muscle Involvement in Systemic Disease 525.e2
Tumors: Choristoma 525.e2
Tumors: Hamartomas 525.e2
Tumors: Mesenchymal–Vascular 525.e3
Tumors: Mesenchymal–Fatty 525.e3
Tumors: Mesenchymal–Fibrous–Histiocytic 525.e3
Tumors: Mesenchymal–Muscle 525.e4
Tumors: Mesenchymal–Cartilage 525.e4
Tumors: Mesenchymal–Bone 525.e4
Tumors: Neural 525.e4
Tumors: Miscellaneous 525.e5
Tumors: Epithelial of Lacrimal Gland 525.e5
Tumors: Reticuloendothelial System 525.e5
Tumors: Inflammatory Pseudotumor 525.e6
Tumors: Malignant Lymphoma 525.e6
Tumors: Leukemia 525.e8
Tumors: Monoclonal and Polyclonal Gammopathies 525.e9
Tumors: Melanotic 525.e9
Secondary Orbital Tumors 525.e9
15 Diabetes Mellitus 527
Natural History 527
Retinal Vasculature in Normal Subjects and Diabetic Patients 529
Conjunctiva and Cornea 529
Lens 531
Iris 532
Ciliary Body and Choroid 534
Neural Retina 534
Vitreous 551
Optic Nerve 551
Bibliography 553.e1
Natural History 553.e1
Conjunctiva and Cornea 553.e2
Lens 553.e3
Neurosensory Retina 553.e4
Iris 553.e4
Ciliary Body and Choroid 553.e4
Retina 553.e5
Vitreous 553.e7
Optic Nerve 553.e7
16 Glaucoma 555
Normal Anatomy (Figs. 16.1–16.3) 555
Introduction 557
Normal Outflow 559
Hypersecretion 559
Impaired Outflow 559
Congenital Glaucoma 559
Primary Glaucoma (Closed- and Open-Angle) 563
Secondary Closed-Angle Glaucoma 568
Causes 568
Secondary Open-Angle Glaucoma 576
Tissue Changes Caused by Elevated Intraocular Pressure 583
Cornea (Figs. 16.26–16.28; see also Fig. 8.55) 583
Anterior Chamber Angle 583
Iris 584
Ciliary Body 584
Lens 586
Sclera 586
Neural Retina (Fig. 16.31) 586
Optic Nerve 587
Bibliography 588.e1
Normal Anatomy 588.e1
Introduction 588.e1
Normal Outflow: Hypersecretion 588.e2
Impaired Outflow: Congenital Glaucoma 588.e2
Impaired Outflow: Primary Closed-Angle 588.e3
Impaired Outflow: Primary Open-Angle 588.e4
Impaired Outflow: Secondary Closed-Angle 588.e5
Impaired Outflow: Secondary Open-Angle 588.e6
Tissue Changes Caused by Elevated Intraocular Pressure 588.e7
17 Ocular Melanocytic Tumors 589
Normal Anatomy 589
Ocular Melanocytes 589
Melanotic Tumors of Eyelids 589
Ephelis (Freckle) 589
Lentigo 590
Nevus 591
Malignant Melanoma 595
Melanotic Tumors of Conjunctiva 597
Ephelis (Freckle) 597
Lentigo 598
Nevus 598
Primary Acquired Melanosis (Figs. 17.13 and 17.14; see also Table 17.1) 602
Primary Malignant Melanoma of Conjunctiva (Fig. 17.15; see also Fig. 17.14) 604
Lesions That May Simulate Primary Conjunctival Nevus or Malignant Melanoma 606
Melanotic Tumors of Pigment Epithelium of Iris, Ciliary Body, and Retina 607
Reactive Tumors 607
Nonreactive Tumors 612
Acquired Neoplasms 615
Melanotic Tumors of the Uvea 616
Iris 616
Ciliary Body and Choroid 621
Melanotic Tumors of the Optic Disc and Optic Nerve 645
Melanocytoma (Magnocellular Nevus of the Nerve Head) 645
Malignant Melanoma 646
Melanotic Tumors of the Orbit 647
Bibliography 648.e1
Normal Anatomy 648.e1
Nevus 648.e1
Melanotic Tumors of the Eyelids 648.e1
Melanotic Tumors of Conjunctiva 648.e2
Melanotic Tumors of Pigment Epithelium of Iris, Ciliary Body, and Retina 648.e3
Melanotic Tumors of the Uvea: Iris 648.e6
Melanotic Tumors of the Uvea: Ciliary Body and Choroid 648.e6
Melanotic Tumors of the Optic Disc and Optic Nerve 648.e11
Melanotic Tumors of the Orbit 648.e12
18 Retinoblastoma and Pseudoglioma 649
Retinoblastoma 649
General Information 649
Heredity 651
Clinical Features 652
Histology 655
Prognosis 659
Overview 659
Pseudoglioma 663
General Information 663
Leukokoria (Box 18.1) 663
Discrete Retinal or Chorioretinal Lesions 674
Bibliography 674.e1
Retinoblastoma 674.e1
Heredity 674.e2
Clinical Features 674.e2
Histology 674.e3
Prognosis 674.e4
Pseudoglioma 674.e5
Leukokoria: Persistent Hyperplastic Primary Vitreous 674.e5
Leukokoria: Retinal Dysplasia 674.e5
Leukokoria: Retinopathy of Prematurity 674.e5
Leukokoria: Coats’ Disease 674.e6
Leukokoria: Norrie’s Disease 674.e6
Leukokoria: Incontinentia Pigmenti 674.e7
Leukokoria: Other Causes 674.e7
Index 675
A 675
B 677
C 678
D 681
E 682
F 683
G 684
H 685
I 686
J 688
K 688
L 688
M 689
N 691
O 692
P 693
R 696
S 697
T 699
U 700
V 700
W 701
X 701
Z 701