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Clinical Ophthalmology A Systematic Approach 7th Edition_Kanski, Bowling_2011

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Table of Contents
Front of the book ..............................................................................................................................................................................	1
Introduction .......................................................................................................................................................................................	1
/Clinical Ophthalmology/ ............................................................................................................................................................	2
/Dedication/ ......................................................................................................................................................................................	3
/Front Matter/ ...................................................................................................................................................................................	4
/Copyright/ .........................................................................................................................................................................................	6
/Preface to the seventh edition/ ...............................................................................................................................................	8
Chapter 1 Eyelids .........................................................................................................................................................................	9
/Introduction ...............................................................................................................................................................................	9
//Benign nodules and cysts .................................................................................................................................................	13
//Benign epidermal tumours ...............................................................................................................................................	16
//Benign pigmented lesions .................................................................................................................................................	19
//Benign adnexal tumours ...................................................................................................................................................	22
//Miscellaneous benign tumours ........................................................................................................................................	24
//Malignant tumours ..............................................................................................................................................................	31
//Disorders of lashes .............................................................................................................................................................	46
//Allergic disorders ................................................................................................................................................................	50
//Bacterial infections .............................................................................................................................................................	52
//Viral infections .....................................................................................................................................................................	54
//Blepharitis .............................................................................................................................................................................	57
//Ptosis .....................................................................................................................................................................................	63
//Ectropion ...............................................................................................................................................................................	73
//Entropion ...............................................................................................................................................................................	79
//Miscellaneous acquired disorders ..................................................................................................................................	83
//Cosmetic eyelid and periocular surgery ........................................................................................................................	87
//Congenital malformations ................................................................................................................................................	91
Chapter 2 Lacrimal Drainage System .........................................................................................................................	100
/Lacrimal Drainage System .............................................................................................................................................	100
Chapter 3 Orbit ..............................................................................................................................................................	116
/Introduction .............................................................................................................................................................	116
//Thyroid eye disease ................................................................................................................................................	122
//Infections ...............................................................................................................................................................	129
//Non-Infective Inflammatory disease ..........................................................................................................................	132
//Vascular malformations ...........................................................................................................................................	137
//Carotid-cavernous fistula .........................................................................................................................................	140
//Cystic lesions .........................................................................................................................................................	144
//Tumours ................................................................................................................................................................	149
//The anophthalmic socket .........................................................................................................................................	166
//Craniosynostoses ...................................................................................................................................................	170
Chapter 4 Dry Eye Disorders .....................................................................................................................................	173
/Dry Eye Disorders/ ..............................................................................................................................................	173
Chapter 5 Conjunctiva .........................................................................................................................................	184
/Introduction ...................................................................................................................................................	184
//Bacterial conjunctivitis ..........................................................................................................................................	188
//Viral conjunctivitis ..............................................................................................................................................	195
//Allergic conjunctivitis ...........................................................................................................................................	199
//Conjunctivitis in blistering mucocutaneous disease ....................................................................................................................	207
//Miscellaneous conjunctivitis ......................................................................................................................................	215

//Degenerations ................................................................................................................................................	219
Chapter 6 Cornea ..............................................................................................................................................	224
/Introduction ............................................................................................................................................	224
//Bacterial keratitis ........................................................................................................................................	233
//Fungal keratitis ..........................................................................................................................................	239
//Herpes simplex keratitis ....................................................................................................................................	243
//Herpes zoster ophthalmicus .................................................................................................................................	248
//Interstitial keratitis ........................................................................................................................................	254
//Protozoan keratitis .......................................................................................................................................	258
//Bacterial hypersensitivity-mediated corneal disease ...................................................................................................................	261
//Rosacea ..............................................................................................................................................	263
//Severe peripheral corneal ulceration .............................................................................................................................	266
//Neurotrophic keratopathy ...................................................................................................................................	270
//Exposure keratopathy .....................................................................................................................................	272
//Miscellaneous keratopathy ..................................................................................................................................	274
//Corneal ectasias .........................................................................................................................................	280
//Corneal dystrophies .......................................................................................................................................	285
//Corneal degenerations .....................................................................................................................................	299
//Metabolic keratopathies ....................................................................................................................................	304
//Contact lenses ..........................................................................................................................................	308
//Congenital anomalies of the cornea and globe ......................................................................................................................	310
/Corneal and Refractive Surgery/Keratoplasty ........................................................................................................................	316
//Keratoprostheses ........................................................................................................................................	323
//Refractive procedures ......................................................................................................................................	325
Chapter 8 Episclera and Sclera ................................................................................................................................	329

Getting started

To start browsing, use the table of contents on the left. Click to expand the contents of a section or chapter. Clicking the chapter or section title itself will take you to that section. Alternatively, search the book using the search function above, or look up a term in the complete index.

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Clinical Ophthalmology: A Systematic Approach, 7th Edition

By Jack J. Kanski, MD, MS, FRCS, FRCOphth and Brad Bowling, FRCSEd(Ophth), FRCOphth Key Features

The market-leading text for over 25 years, providing the ultimate foundation in ophthalmology.

Grasp key information quickly and prepare for examinations effectively with a pictorial, bulleted approach - both highly visual and clearly concise, for faster, more effective study.

Move rapidly throughout the text, quickly finding the information you need with color coding and at-a- glance key points.

Website Features

Consult the book from any computer at home, in your office, or at any practice location.

Instantly locate the answers to your clinical questions via a simple search query.

Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract. Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.

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Clinical Ophthalmology

A Systematic Approach

Seventh Edition

Jack J Kanski, MD, MS, FRCS, FRCOphth

Honorary Consultant Ophthalmic Surgeon, Prince Charles Eye Unit, King Edward VII Hospital, Windsor, UK

Brad Bowling, FRCSEd(Ophth), FRCOphth

Consultant Ophthalmic Surgeon, Blackpool Victoria Hospital, Blackpool, UK

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Dedication

To our wives

Val & Suzanne

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Front Matter

Get fully searchable text and more online @ expertconsult.com

Clinical Ophthalmology

A SYSTEMATICAPPROACH

Seventh Edition

Jack J Kanski

MD, MS, FRCS, FRCOphth

Honorary Consultant Ophthalmic Surgeon

Prince Charles Eye Unit

King Edward VII Hospital

Windsor, UK

Brad Bowling

FRCSEd(Ophth), FRCOphth

Consultant Ophthalmic Surgeon

Blackpool Victoria Hospital

Blackpool, UK

With contributions from

Ken Nischal FRCOphth

Consultant Ophthalmic Surgeon

Great Ormond Street Hospital for Sick Children

London, UK

Andrew Pearson MRCP, FRCOphth

Consultant Ophthalmic Surgeon

Prince Charles Eye Unit, Windsor, and

Royal Berkshire Hospital

Reading, UK

Edinburgh, London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto

Commissioning Editor: Russell Gabbedy

Development Editor: Louise Cook

Editorial Assistants: Kirsten Lowson & Poppy Garraway

Project Manager: Frances Affleck

Design: Stewart Larking

Illustration Manager: Bruce Hogarth

Illustrator: Terry Tarrant, Ian Ramsden and Antbits

Marketing Manager: Helena Mutak

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an imprint of Elsevier Limited.

First edition 1984

Second edition 1989

Third edition 1994

Fourth edition 1999

Fifth edition 2003

Sixth edition 2007

Seventh edition 2011

The right of Jack J Kanski and Brad Bowling to be identified as authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Standard Edition: 978-0-7020-4093-1

International Edition: 978-0-7020-4095-5

Kanski, Jack J.

Clinical ophthalmology : a systematic approach. – 7th ed.

1. Ophthalmology.

I. Title II. Bowling, Brad (Bradley)

617.7-dc22

ISBN-13: 9780702040931

Library of Congress Cataloging in Publication Data

A catalog record for this book is available from the Library of Congress

Printed in China

Last digit is the print number: 9 8 7 6 5 4 3 2 1

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Preface to the seventh edition

The purpose of the seventh edition of Clinical Ophthalmology, as in previous editions, is to present the basics of clinical ophthalmic practice in a systematic and succinct manner, to be used as a springboard to more in-depth study of individual topics. We have tried to be comprehensive in the inclusion of key advances, with considerable updating and revision of the text. The majority of the illustrations in this edition are new, and provide a more effective and vivid representation of many conditions. In response to trainees’ requests the present edition also places a greater emphasis on practical management, taking into account numerous published guidelines and other authoritative sources. The book is intended principally for the trainee and practising ophthalmologist, but previous editions have also been widely utilized by other eye care professionals, particularly optometrists.

Recent editions have benefited immeasurably from chapter reviews by experts in the relevant field, but this edition is the first in which a coauthor has joined Jack Kanski in taking overall responsibility for the book. Brad Bowling has extensive experience in the teaching and training of ophthalmologists, and has brought an invaluable fresh perspective and energy to the text which we trust is conveyed in the pages.

We are extremely grateful for input and expert advice received from numerous colleagues, in particular Andy Pearson for a meticulous review of the sections on adnexal disease and Ken Nischal for detailed suggestions on paediatric topics. We also very much appreciate Irina Gout's contribution of her medical photographic expertise, without which many of the images in the book would not have been possible. The benevolence of other colleagues and ophthalmic photography departments, particularly Steven Farley, Tim Cole and Lorraine Rimmer at Blackpool Victoria Hospital, in kindly allowing the use of photographs from their collections is gratefully received, and each is acknowledged in individual legends. Finally, we would like to acknowledge the support and commitment of the staff at Elsevier Science, especially Russell Gabbedy.

The authors are acutely conscious of the privilege of involvement in contemporary ophthalmological education. We have attempted to imbue the book – and infect the reader – with our enthusiasm for the specialty.

JJK & BB

2011

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