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Book Details
Abstract
Don’t take chances with your exam prep! Trust Review of Ophthalmology to help you study all the current information you need to know to ace your exams!
- Efficiently review a wide spectrum of topics with an organization by common ophthalmologic subspecialties.
- Maximize retention with a popular outline approach that distills key information on each topic alongside sample review questions.
- Review the findings of many important clinical studies with which you are expected to be familiar.
- Test your understanding of essential information with questions at the end of each chapter and answers at the end of the book.
- Study on the go, search the complete text online, and download images at www.expertconsult.com.
- Be fully prepared for current exam topics with information on the latest techniques in corneal surgery, macular degeneration treatment and trials, and expanded treatment options for many sections.
- View anatomic details, common ophthalmic test findings, and examples of classic histopathology specimens through brand-new illustrations and photographs.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front cover | cover | ||
Review of Ophthalmology | i | ||
Copyright page | iv | ||
Table of Contents | v | ||
Preface | vi | ||
Acknowledgements | vii | ||
1 Optics | 1 | ||
Properties of Light | 1 | ||
Index of refraction (n): | 1 | ||
Interference: | 1 | ||
Coherence: | 1 | ||
Polarization: | 1 | ||
Diffraction: | 1 | ||
Scattering: | 1 | ||
Reflection: | 2 | ||
Transmission: | 2 | ||
Absorption: | 2 | ||
Illumination: | 2 | ||
Luminance: | 2 | ||
Laser: | 2 | ||
Refraction | 2 | ||
Snell’s law: | 2 | ||
Critical angle: | 2 | ||
Total internal reflection: | 2 | ||
Prisms | 3 | ||
Prism diopter (PD, Δ): | 3 | ||
Angle of minimum deviation: | 3 | ||
Risley prism: | 3 | ||
Fresnel prisms: | 3 | ||
Prismatic effect of lenses (Figure 1-4): | 3 | ||
Prentice’s rule: | 3 | ||
Prismatic effect of bifocal glasses: | 4 | ||
Chromatic effects: | 4 | ||
Duochrome test: | 4 | ||
Vector addition of prisms: | 4 | ||
Vergence | 4 | ||
Convergence (converging rays): | 4 | ||
Divergence (diverging rays): | 4 | ||
Parallel rays: | 4 | ||
Diopter: | 4 | ||
Lens: | 4 | ||
Basic lens formula: | 4 | ||
Objects and images: | 4 | ||
Lenses: | 5 | ||
Lens effectivity: | 5 | ||
Vertex distance conversion: | 5 | ||
Pure cylindrical lens: | 6 | ||
Spherocylindrical lens: | 6 | ||
Cylinder transposition: | 6 | ||
Power cross diagram: | 6 | ||
Combining cylinders at oblique axis: | 6 | ||
Power of cylinder at oblique axis: | 6 | ||
Aberrations | 6 | ||
Spherical: | 6 | ||
Coma: | 6 | ||
Curvature of field: | 7 | ||
Astigmatism of oblique incidence: | 7 | ||
Distortion: | 7 | ||
Chromatic: | 7 | ||
Magnification | 7 | ||
Transverse (linear or lateral): | 7 | ||
Axial: | 7 | ||
Angular: | 7 | ||
Size of image seen through glasses: | 7 | ||
Anisometropia: | 7 | ||
Aniseikonia: | 7 | ||
Knapp’s rule: | 7 | ||
Telescopes: | 7 | ||
Accommodation through telescope: | 8 | ||
Mirrors | 8 | ||
Law of reflection: | 8 | ||
Objects and images: | 8 | ||
Focal length: | 8 | ||
Reflecting power: | 8 | ||
Convex: | 8 | ||
Concave: | 8 | ||
Plano: | 8 | ||
Central ray: | 8 | ||
Eye as Optical System | 8 | ||
Model Eye | 8 | ||
Vision Measurements | 8 | ||
Minimum visible: | 8 | ||
Minimum discriminable: | 8 | ||
Minimum separable: | 8 | ||
Vernier acuity: | 9 | ||
Snellen acuity: | 9 | ||
ETDRS Chart: | 9 | ||
Near acuity: | 9 | ||
Acuity testing in children: | 9 | ||
Factors other than disease that reduce measured visual acuity: | 9 | ||
Legal blindness (in US): | 9 | ||
Visual acuity is influenced by pupil size: | 9 | ||
Laser inferometer: | 9 | ||
Contrast sensitivity: | 9 | ||
Refractive Error | 9 | ||
Axial vs refractive: | 9 | ||
Far point: | 10 | ||
Astigmatism: | 10 | ||
Correction of ametropia: | 10 | ||
Acquired hyperopia: | 10 | ||
Acquired myopia: | 10 | ||
Night myopia: | 10 | ||
Acquired astigmatism: | 10 | ||
Accommodation | 10 | ||
Amplitude of accommodation: | 10 | ||
Range of accommodation: | 10 | ||
Presbyopia: | 10 | ||
Theories of accommodation: | 11 | ||
Donder’s table: | 11 | ||
Conditions that cause asthenopia (eye fatigue with sustained near effort): | 11 | ||
Premature presbyopia (subnormal accommodation): | 11 | ||
Color Vision | 11 | ||
3 components of color: | 11 | ||
Hue: | 11 | ||
Saturation: | 11 | ||
Brightness: | 11 | ||
Bezold-Brucke phenomenon: | 11 | ||
Abney effect: | 11 | ||
Luminosity curve: | 11 | ||
Afterimages: | 11 | ||
Color perception: | 11 | ||
Prescribing Glasses | 11 | ||
Children (Table 1-3): | 11 | ||
Adults: | 12 | ||
Minus cylinder grinding: | 12 | ||
Match base curves: | 12 | ||
Binocular balance: | 12 | ||
Bifocal add: | 12 | ||
Kestenbaum’s rule: | 12 | ||
Aphakic spectacles: | 12 | ||
Contact Lenses (Cl) | 12 | ||
Toric lens: | 12 | ||
Ballasted lens: | 12 | ||
Sagittal depth/apical height: | 12 | ||
Radius of curvature (base curve): | 12 | ||
Overall diameter: | 12 | ||
Oxygen transmission: | 12 | ||
Accommodative demand: | 12 | ||
Fitting rigid CL: | 13 | ||
Power calculation: | 13 | ||
Evaluating fit: | 13 | ||
Low-Vision Aids | 13 | ||
Kestenbaum’s rule: | 13 | ||
Near devices: | 13 | ||
Distance devices: | 13 | ||
Intraocular Lenses (IOL) | 13 | ||
Ophthalmic Instruments | 14 | ||
Direct ophthalmoscope (Figure 1-19): | 14 | ||
Indirect ophthalmoscope (Figure 1-20): | 14 | ||
Retinoscope: | 14 | ||
Slit-lamp biomicroscope (Figure 1-21): | 14 | ||
Lensometer: | 15 | ||
Keratometer: | 15 | ||
Applanation tonometry: | 15 | ||
A- and B-scan ultrasonography: | 15 | ||
Ocular coherence tomography (OCT): | 15 | ||
Equations | 15 | ||
Vergence formula: | 15 | ||
Lens power (diopters): | 15 | ||
Snell’s law: | 15 | ||
Prismatic power: | 15 | ||
Prentice’s rule: | 15 | ||
Reduced schematic eye (calculations of retinal image size): | 16 | ||
Spherical equivalent: | 16 | ||
Refracting power of a spherical surface: | 16 | ||
Reflecting power of a spherical mirror: | 16 | ||
Power of a thin lens immersed in fluid: | 16 | ||
Power of lens at new vertex distance: | 16 | ||
Linear magnification: | 16 | ||
Axial magnification: | 16 | ||
Angular magnification: | 16 | ||
Simple magnifier: | 16 | ||
Telescope (Galilean and astronomical): | 16 | ||
Total accommodation through telescope: | 16 | ||
IOL power (SRK): | 16 | ||
AC/A ratio (accommodative converge/accommodation): | 16 | ||
Review Questions (Answers start on page 355) | 16 | ||
Suggested Readings | 19 | ||
2 Pharmacology | 21 | ||
Ocular Pharmacology | 21 | ||
Pharmacodynamics: | 21 | ||
Pharmacokinetics: | 21 | ||
Bioavailability: | 21 | ||
Therapeutic index: | 21 | ||
Inhibitory quotient (IQ): | 21 | ||
Routes of Administration | 21 | ||
Topical: | 21 | ||
Subconjunctival / sub-Tenon’s: | 22 | ||
Retrobulbar / peribulbar: | 22 | ||
Intraocular: | 22 | ||
Systemic: | 22 | ||
Concentration | 22 | ||
Anesthetics | 22 | ||
Mechanism: | 22 | ||
Structure: | 22 | ||
Topical: | 22 | ||
Parenteral: | 22 | ||
General: | 22 | ||
Autonomic System | 23 | ||
Sympathetic | 23 | ||
Adrenergic receptors: | 23 | ||
3 Embryology / Pathology | 35 | ||
Embryology | 35 | ||
Formation of eye: | 35 | ||
Embryonic plate (Figure 3.1): | 35 | ||
Optic pit: | 35 | ||
Optic vesicle: | 35 | ||
Optic cup (Figure 3.2): | 35 | ||
Embryonic fissure: | 35 | ||
Hyaloid artery (Figure 3-3): | 35 | ||
Primitive epithelial papillae: | 36 | ||
Vitreous: | 36 | ||
Retina: | 37 | ||
Choroid: | 37 | ||
Sclera: | 37 | ||
Cornea: | 37 | ||
Angle: | 37 | ||
Lens: | 37 | ||
Summary | 37 | ||
Iris: | 37 | ||
Ciliary body (CB): | 38 | ||
Nasolacrimal system: | 38 | ||
Eyelids: | 38 | ||
Embryologic tissues and their components: | 38 | ||
Pathology | 39 | ||
Microbial studies | 39 | ||
Stains | 39 | ||
Gram: | 39 | ||
Giemsa: | 39 | ||
Acid fast (Ziehl-Neelsen): | 39 | ||
Periodic acid-Schiff (PAS): | 39 | ||
Gomori’s methenamine silver: | 39 | ||
Calcofluor white: | 39 | ||
KOH: | 39 | ||
Culture Media | 40 | ||
Blood agar: | 40 | ||
Blood agar in 5–10% carbon dioxide: | 40 | ||
Chocolate (contains hemin and nicotinamide adenine dinucleotide [NAD]): | 40 | ||
Thioglycolate: | 40 | ||
Sabouraud’s: | 40 | ||
Löwenstein-Jensen: | 40 | ||
Loeffler’s: | 40 | ||
Non-nutrient agar with E. coli overgrowth: | 40 | ||
Cytology | 40 | ||
Intracytoplasmic basophilic inclusions (Giemsa stain): | 40 | ||
Intranuclear eosinophilic inclusions (Papanicolaou stain): | 40 | ||
Tissue stains | 40 | ||
Hematoxylin and eosin (H&E): | 40 | ||
Periodic acid-Schiff (PAS): | 40 | ||
Masson trichrome: | 40 | ||
Congo red: | 40 | ||
Crystal violet: | 40 | ||
Alcian blue: | 40 | ||
Colloidal iron: | 40 | ||
Oil red O: | 40 | ||
Sudan black: | 40 | ||
Luxol fast blue: | 40 | ||
Bodian: | 40 | ||
Mucicarmine: | 40 | ||
Verhoeff Van Gieson: | 40 | ||
Movat’s pentachrome: | 40 | ||
Wilder: | 40 | ||
Alizarin red: | 40 | ||
von Kossa: | 40 | ||
Prussian blue: | 40 | ||
Fontana-Masson: | 40 | ||
S-100 protein: | 40 | ||
Polarizing filters: | 40 | ||
Tissue fixation | 40 | ||
Orientation of globe: | 40 | ||
Paraffin: | 40 | ||
Glutaraldehyde: | 40 | ||
Formalin and Bouin’s fixative: | 40 | ||
Ethyl alcohol: | 41 | ||
Fixation artifacts: | 41 | ||
Hypersensitivity reactions (coombs and gell classification) | 41 | ||
Type I: | 41 | ||
Type II: | 41 | ||
Type III: | 41 | ||
Type IV: | 41 | ||
Type V: | 41 | ||
Immunoglobulins | 41 | ||
IgG: | 41 | ||
IgA: | 41 | ||
IgM: | 41 | ||
IgD: | 41 | ||
IgE: | 41 | ||
Hla (human leukocyte antigen) system | 41 | ||
Inflammation | 42 | ||
Types of Inflammatory Cells | 42 | ||
Neutrophils: | 42 | ||
Eosinophils: | 42 | ||
Mast cells: | 42 | ||
Lymphocytes: | 42 | ||
Plasma cells: | 42 | ||
Macrophages: | 42 | ||
Epithelioid histiocyte: | 42 | ||
Giant cells: | 42 | ||
Types of Inflammation | 42 | ||
Acute: | 42 | ||
Chronic: | 43 | ||
Sequelae of Inflammation | 43 | ||
Cornea: | 43 | ||
Anterior chamber: | 43 | ||
Lens: | 43 | ||
Ciliary body: | 43 | ||
Retina: | 43 | ||
Phthisis: | 43 | ||
Eyelid epithelial changes | 43 | ||
Hyperkeratosis: | 43 | ||
Parakeratosis: | 43 | ||
Dyskeratosis: | 43 | ||
Acanthosis: | 43 | ||
Acantholysis: | 43 | ||
Dysplasia: | 43 | ||
Carcinoma in situ (CIN): | 43 | ||
Squamous cell carcinoma: | 43 | ||
Anaplasia: | 43 | ||
Papillomatosis: | 43 | ||
Pseudoepitheliomatous hyperplasia: | 43 | ||
Elastosis: | 43 | ||
Aging changes | 44 | ||
4 Neuro-ophthalmology | 49 | ||
Anatomy of the Visual Pathway | 49 | ||
Optic nerve: | 49 | ||
Chiasm: | 49 | ||
Optic tract: | 50 | ||
Lateral geniculate body: | 51 | ||
Optic radiation: | 52 | ||
Primary visual cortex (striate cortex, V1, Brodmann’s area 17): | 52 | ||
Visual association areas: | 52 | ||
Other areas: | 52 | ||
Physiology | 52 | ||
Testing | 52 | ||
Color vision tests: | 52 | ||
Photostress recovery test: | 54 | ||
Contrast sensitivity: | 54 | ||
Visually evoked cortical potentials / responses (VEP, VER): | 54 | ||
Amsler grid: | 54 | ||
Optokinetic nystagmus (OKN): | 54 | ||
Red glass test: | 54 | ||
Potential acuity meter (PAM): | 54 | ||
Purkinje vascular phenomena and blue field entopic test: | 54 | ||
Visual Field (VF) Defects (Figure 4-9) | 54 | ||
Types: | 54 | ||
Localizing VF defects: | 55 | ||
Neurologic VF defects: | 55 | ||
Eye Movements under Supranuclear Control | 56 | ||
Horizontal gaze center (Figures 4-10,4-11): | 56 | ||
Saccadic system: | 56 | ||
Smooth pursuit system: | 56 | ||
Vergence system: | 56 | ||
Position maintenance system (vestibulo-ocular reflex [VOR]): | 56 | ||
Nonoptic reflex systems: | 57 | ||
Diplopia | 58 | ||
Types: | 58 | ||
Etiology: | 58 | ||
Differential diagnosis (DDx): | 58 | ||
Restrictive syndromes: | 58 | ||
Eye Movement Disorders | 58 | ||
Central Disorders (Supranuclear) (Figure 4-13) | 58 | ||
Horizontal Gaze Palsies | 58 | ||
Congenital | 58 | ||
Möbius’ Syndrome | 58 | ||
Ocular Motor Apraxia | 58 | ||
Associations: | 58 | ||
Findings: | 58 | ||
Acquired | 59 | ||
Frontoparietal lesion (stroke, trauma, or infection): | 59 | ||
Doll’s head testing and calorics: | 59 | ||
Parieto-occipital lesion: | 59 | ||
Tegmental lesion: | 59 | ||
Pontine lesion (PPRF): | 59 | ||
Parkinson’s disease: | 59 | ||
Huntington’s chorea | 59 | ||
Drug-induced: | 59 | ||
Pseudogaze palsies: | 59 | ||
Internuclear ophthalmoplegia (INO) (Figure 4-14): | 59 | ||
One-and-a-half syndrome (Fisher syndrome) (Figure 4-15): | 59 | ||
Vertical Gaze Abnormalities | 60 | ||
Parinaud’s Syndrome (Dorsal Midbrain Syndrome) | 60 | ||
5 Pediatrics / Strabismus | 91 | ||
Pediatrics | 91 | ||
Anatomy | 91 | ||
Physiology | 91 | ||
History: | 91 | ||
Orbital Disorders | 92 | ||
Congenital Anomalies | 92 | ||
Anophthalmos | 92 | ||
6 Orbit / Lids / Adnexa | 157 | ||
Anatomy | 157 | ||
Dimensions | 157 | ||
Orbit: | 157 | ||
Optic nerve: | 157 | ||
Proptosis: | 157 | ||
Apertures | 157 | ||
Superior orbital fissure: | 157 | ||
Optic canal (orbital foramen): | 157 | ||
Inferior orbital fissure: | 157 | ||
Nasolacrimal canal: | 157 | ||
Zygomaticofacial and zygomaticotemporal canals: | 157 | ||
Ethmoidal foramina: | 157 | ||
Frontosphenoidal foramina: | 157 | ||
Foramen ovale: | 157 | ||
Foramen rotundum: | 157 | ||
Foramen lacerum: | 157 | ||
Vascular Supply to Eye | 157 | ||
Ophthalmic artery: | 157 | ||
Venous system: | 160 | ||
Innervation of Eye | 160 | ||
Ophthalmic division (V1): | 160 | ||
Maxillary nerve (V2): | 160 | ||
Parasympathetic innervation: | 160 | ||
Sympathetic innervation: | 160 | ||
Sinuses | 161 | ||
Frontal: | 161 | ||
Ethmoid: | 161 | ||
Sphenoid: | 161 | ||
Maxillary: | 161 | ||
Soft Tissues | 161 | ||
Periorbita: | 161 | ||
Annulus of Zinn: | 161 | ||
Adipose tissue: | 161 | ||
Lacrimal gland: | 161 | ||
Eyelid | 162 | ||
Lamellae of upper eyelid: (Figure 6-10) | 162 | ||
Skin: | 162 | ||
Orbicularis oculi: (Figure 6-11) | 162 | ||
Other muscles of forehead and eyebrow: | 163 | ||
Orbital septum: | 163 | ||
Upper eyelid retractors: | 164 | ||
Lower eyelid retractors: | 164 | ||
Tarsus: | 165 | ||
Medial canthal tendon: | 165 | ||
Lateral canthal tendon: | 165 | ||
Eyelid margin: | 165 | ||
Vascular supply: | 165 | ||
Innervation: | 165 | ||
Lymphatic drainage: | 165 | ||
Glands of the eyelids: | 166 | ||
Nasolacrimal System | 166 | ||
Puncta: | 166 | ||
Canaliculi: | 166 | ||
Nasolacrimal sac: | 166 | ||
Nasolacrimal duct: | 166 | ||
Lacrimal pump: | 166 | ||
Imaging | 167 | ||
Ultrasound | 167 | ||
MRI | 167 | ||
Relaxation times: | 167 | ||
7 Cornea / External Disease | 191 | ||
Anatomy / Physiology | 191 | ||
Conjunctiva | 191 | ||
Palpebral conjunctiva: | 191 | ||
Bulbar conjunctiva: | 191 | ||
Plica semilunaris: | 191 | ||
Caruncle: | 191 | ||
Precorneal Tear Film | 191 | ||
Layers: | 191 | ||
Cornea (Figure 7-1) | 191 | ||
Average measurements: | 191 | ||
Epithelium: | 191 | ||
Basal lamina: | 192 | ||
Bowman’s membrane: | 192 | ||
Stroma: | 192 | ||
Descemet’s membrane: | 192 | ||
Endothelium: | 192 | ||
Innervation: | 193 | ||
Stains: | 193 | ||
Special techniques: | 193 | ||
Limbus | 193 | ||
Sclera | 193 | ||
Thickness: | 193 | ||
3 layers (ill defined): | 193 | ||
Conjunctival Disorders | 193 | ||
Inflammation | 193 | ||
Follicles | 193 | ||
Papillae | 194 | ||
Chemosis | 194 | ||
Phlyctenule | 194 | ||
Etiology: | 194 | ||
8 Uveitis | 229 | ||
Pathophysiology | 229 | ||
Inflammatory reaction: | 229 | ||
Retinal S-antigen: | 229 | ||
Classification | 229 | ||
Pathology: | 229 | ||
9 Glaucoma | 251 | ||
Anatomy/physiology | 251 | ||
Ciliary body (CB) | 251 | ||
Functions | 251 | ||
Outflow Pathways | 252 | ||
Trabecular meshwork (traditional pathway): | 252 | ||
Uveoscleral outflow (15–20% of total outflow): | 252 | ||
Angle Structures | 252 | ||
Schwalbe’s line: | 252 | ||
Trabecular meshwork (TM): | 252 | ||
Schlemm’s canal: | 253 | ||
DDx of blood in Schlemm’s canal: | 253 | ||
Scleral spur (SS): | 253 | ||
Ciliary body (CB): | 253 | ||
Angle Abnormalities | 253 | ||
Peripheral anterior synechia (PAS): | 253 | ||
Normal vessels: | 253 | ||
Abnormal vessels: | 253 | ||
Angle recession: | 253 | ||
Cyclodialysis cleft: | 253 | ||
Iridodialysis: | 253 | ||
Optic Nerve (Figure 9-2) | 253 | ||
Testing | 253 | ||
Intraocular Pressure | 253 | ||
Goldmann equation: | 253 | ||
Tonometry | 254 | ||
Indentation | 254 | ||
Applanation: | 254 | ||
Noncontact | 254 | ||
Gonioscopy | 254 | ||
Classification systems | 254 | ||
Types of lenses | 255 | ||
Grading system of shallow/flat anterior chamber | 255 | ||
Visual Fields | 255 | ||
Types: | 255 | ||
Goldmann (kinetic and static): | 255 | ||
Humphrey (static): | 255 | ||
Tangent screen (usually kinetic): | 255 | ||
VF defect: | 255 | ||
Optic Nerve Head (ONH) Analyzers | 256 | ||
Confocal scanning laser ophthalmoscopy (CSLO; Heidelberg retinal tomograph [HRT]; TopSS): | 256 | ||
Optical coherence tomography (OCT): | 256 | ||
Scanning laser polarimetry (SLP; Nerve Fiber Analyzer, GDx): | 256 | ||
Optic nerve blood flow measurement: | 256 | ||
Pathology | 257 | ||
Glaucoma | 257 | ||
Schnabel’s Cavernous Optic Atrophy | 257 | ||
Pathology: | 257 | ||
Gliosis of the Optic Nerve | 257 | ||
Disorders | 257 | ||
Childhood Glaucoma | 257 | ||
Primary Open-Angle Glaucoma (POAG) | 257 | ||
Epidemiology: | 257 | ||
Genetics: | 257 | ||
Risk factors: | 258 | ||
Pathogenesis: | 258 | ||
Findings: | 258 | ||
Visual fields: | 258 | ||
Secondary Open-Angle Glaucoma | 260 | ||
Mechanism/Etiology: | 260 | ||
Hyphema | 260 | ||
Sickle cell | 260 | ||
Ghost cells | 260 | ||
Lytic glaucomas | 260 | ||
Hemolytic: | 260 | ||
Phacolytic: | 260 | ||
Melanomalytic: | 260 | ||
Melanocytomalytic: | 260 | ||
Tumor cells | 260 | ||
Pigmentary glaucoma (PG) (AD) | 260 | ||
Mechanism: | 261 | ||
10 Anterior Segment | 273 | ||
Iris, ciliary body, and anterior chamber (AC) angle | 273 | ||
Anatomy | 273 | ||
Limbus | 273 | ||
Definitions: | 273 | ||
Ciliary Body and Angle Structures | 273 | ||
Disorders | 273 | ||
Trauma | 273 | ||
Hyphema | 273 | ||
Etiology: | 273 | ||
Findings: | 273 | ||
Diagnosis: | 273 | ||
Treatment: | 273 | ||
Complications: | 273 | ||
Sickle cell and hyphema: | 273 | ||
Iris and Angle Trauma (Figure 10-2) | 274 | ||
Iris sphincter tear: | 274 | ||
Traumatic mydriasis: | 274 | ||
Iridodialysis: | 274 | ||
Angle recession: | 274 | ||
Cyclodialysis: | 274 | ||
Open Globe/Intraocular Foreign Body | 274 | ||
Penetration: | 274 | ||
Perforation: | 274 | ||
Findings: | 274 | ||
Types of foreign bodies: | 275 | ||
Treatment: | 275 | ||
Prognosis: | 275 | ||
Congenital Abnormalities | 276 | ||
Mesodermal Dysgenesis Syndromes | 276 | ||
Other Disorders | 276 | ||
Corectopia | 276 | ||
Iris Heterochromia | 276 | ||
11 Posterior segment | 289 | ||
Anatomy | 289 | ||
Vitreous | 289 | ||
Vitreous base: | 289 | ||
Vitreoretinal junctions: | 289 | ||
Retina (Figure 11-3) | 289 | ||
Neurosensory Retina (9 Layers): | 289 | ||
Peripheral Retina: | 290 | ||
Macula: | 290 | ||
Fovea (Figures 11-6, 11.7): | 291 | ||
Foveola: | 291 | ||
Intercellular Junctions | 292 | ||
Clinical Correlation | 292 | ||
Hemorrhages | 292 | ||
RPE: | 292 | ||
Functions: | 292 | ||
Bruch’s Membrane: | 292 | ||
Layers: | 292 | ||
Neuroglial Cells | 292 | ||
Astrocytes: | 292 | ||
Müller’s cells: | 292 | ||
Microglia: | 292 | ||
Arachnoidal cells: | 292 | ||
Oligodendrocytes: | 292 | ||
Schwann cells: | 292 | ||
Choroid | 292 | ||
Layers: | 293 | ||
Physiology | 293 | ||
Visual pigments: | 293 | ||
Rod photoreceptor membranes: | 293 | ||
Luminosity curves: | 293 | ||
Electrophysiology | 293 | ||
Electroretinogram (ERG) | 293 | ||
Components (Figure 11-10): | 293 | ||
Photopic (light adapted): | 294 | ||
Scotopic (dark adapted): | 294 | ||
Indications: | 295 | ||
Disease states (Figure 11-14, Table 11-2): | 295 | ||
Pattern ERG (PERG): | 296 | ||
Electro-oculogram (EOG) | 296 | ||
Arden ratio: | 297 | ||
Procedure: | 297 | ||
Retinal Imaging | 297 | ||
Optical Coherence Tomography (OCT) | 297 | ||
Heidelberg Retinal Tomograph (HRT) | 297 | ||
Retinal Thickness Analyzer (RTA) | 297 | ||
Scanning Laser Ophthalmoscope (SLO) | 298 | ||
Ultrasound | 298 | ||
A-scan: | 298 | ||
B-scan: | 298 | ||
Reflectivity: | 298 | ||
Internal structure: | 298 | ||
Sound attenuation: | 298 | ||
After movement: | 299 | ||
Vascularity: | 299 | ||
Specific lesions: | 299 | ||
Fluorescein Angiogram (FA) | 300 | ||
Phases: | 300 | ||
Characteristics: | 301 | ||
Indocyanine Green (ICG) | 301 | ||
Disorders | 302 | ||
Vitreous Abnormalities | 302 | ||
Asteroid Hyalosis | 302 | ||
Pathology: | 302 | ||
Synchisis Scintillans (Cholesterol Bulbi) | 302 | ||
Primary Amyloidosis | 302 | ||
Posterior Vitreous Detachment (PVD) | 302 | ||
Mechanism: | 302 | ||
Symptoms: | 302 | ||
Findings: | 302 | ||
Vitreous Hemorrhage (VH) | 302 | ||
Etiology: | 302 | ||
Ochre membrane: | 302 | ||
Persistent Hyperplastic Primary Vitreous (PHPV) | 302 | ||
Retinal Abnormalities | 302 | ||
Congenital | 302 | ||
Trauma | 302 | ||
Commotio Retinae (Berlin’s Edema) | 302 | ||
Contusion of RPE | 303 | ||
Choroidal Rupture | 303 | ||
Mechanism: | 303 | ||
Direct: | 303 | ||
Indirect: | 303 | ||
Answers to Questions | 355 | ||
Chapter 1 Optics | 355 | ||
Chapter 2 Pharmacology | 357 | ||
Chapter 3 Embryology/Pathology | 358 | ||
Chapter 4 Neuro-Ophthalmology | 359 | ||
Chapter 5 Pediatrics/Strabismus | 361 | ||
Chapter 6 Orbit/Lids/Adnexa | 363 | ||
Chapter 7 Cornea/External Disease | 365 | ||
Chapter 8 Uveitis | 366 | ||
Chapter 9 Glaucoma | 368 | ||
Chapter 10 Anterior Segment | 369 | ||
Chapter 11 Posterior Segment | 370 | ||
Index | 373 | ||
A | 373 | ||
B | 374 | ||
C | 375 | ||
D | 377 | ||
E | 377 | ||
F | 378 | ||
G | 379 | ||
H | 379 | ||
I | 380 | ||
J | 380 | ||
K | 381 | ||
L | 381 | ||
M | 382 | ||
N | 383 | ||
O | 383 | ||
P | 384 | ||
Q | 386 | ||
R | 386 | ||
S | 386 | ||
T | 387 | ||
U | 388 | ||
V | 388 | ||
W | 389 | ||
X | 389 | ||
Y | 389 | ||
Z | 389 |