Ординатура / Офтальмология / Английские материалы / Comprehensive Ophthalmology_Khurana_2007
.pdf
Comprehensive
OPHTHALMOLOGY
This page intentionally left blank
Comprehensive
OPHTHALMOLOGY
Fourth Edition
A K Khurana
Professor,
Regional Institute of Ophthalmology,
Postgraduate Institute of Medical Scienc
Rohtak124001, India
NEW AGE INTERNATIONAL (P) LIMITED, PUBLISHERS
New Delhi • Bangalore • Chennai • Cochin • Guwahati • Hyderabad
Jalandhar • Kolkata • Lucknow • Mumbai • Ranchi
Visit us at www.newagepublishers.com
Copyright © 2007, 2003, 1996,A K Khurana
Published by New Age International (P) Ltd., Publishers
All rights reserved.
No part of this ebook may be reproduced in any form, by photostat, microfilm, xerography, or any other means, or incorporated into any information retrieval system, electronic or mechanical, without the written permission of the publisher.
All inquiries should be emailed to rights@newagepublishers.com
ISBN (13) : 978-81-224-2480-5
PUBLISHING FOR ONE WORLD
NEWAGE INTERNATIONAL (P) LIMITED, PUBLISHERS
4835/24,Ansari Road, Daryaganj, New Delhi - 110002 Visit us at www.newagepublishers.com
Dedicated
To my parents and teachers for their blessings To my students for their encouragement
To my children, Aruj and Arushi, for their patience To my wife, Dr. Indu, for her understanding
This page intentionally left blank
(vii)
P R EPREFACEF A C E
Fourth edition of the book has been thoroughly revised, updated, and published in an attractive colour format. This endeavour has enhanced the lucidity of the figures and overall aesthetics of the book.
The fast-developing advances in the field of medical sciences and technology has beset the presentday medical students with voluminous university curriculae. Keeping in view the need of the students for a ready-made material for their practical examinations and various postgraduate entrance tests, the book has been expanded into two sections and is accompanied with ‘Review of Ophthalmology’ as a pocket companion, and converted into a comprehensive book.
Section 1: Anatomy, Physiology and Diseases of the Eye. This part of the book includes 20 chapters, 1 each on Anatomy and Physiology of Eye and rest 18 on diseases of the different structures of the eye.
Section II: Practical Ophthalmology. This section includes chapter on ‘Clinical Methods in Ophthalmology’ and different other aspects essential to the practical examinations viz. Clinical Ophthalmic Cases, Darkroom Procedures, and Ophthalmic Instruments.
Review of Ophthalmology: Quick Text Review and Multiple-Choice Questions. This pocket companion provides an indepth revision of the subject at a glance and an opportunity of self-assessment, and thus makes it the book of choice for preparing for the various postgraduate entrance examinations.
Salient Features of the Book
Each chapter begins with a brief overview highlighting the topics covered followed by relevant applied anatomy and physiology. The text is then organized in such a way that the students can easily understand, retain and reproduce it. Various levels of headings, subheadings, bold face and italics given in the text will be helpful in a quick revision of the subject.
Text is complete and up-to-date with recent advances such as refractive surgery, manual small incision cataract surgery (SICS), phacoemulsification, newer diagnostic techniques as well as newer therapeutics.
To be true, some part of the text is in more detail than the requirement of undergraduate students. But this very feature of the book makes it a useful handbook for the postgraduate students.
The text is illustrated with plenty of diagrams. The illustrations mostly include clinical photographs and clear-line diagrams providing vivid and lucid details.
Operative steps of the important surgical techniques have been given in the relevant chapters.
Wherever possible important information has been given in the form of tables and flowcharts.
An attraction of this edition of the book is a very useful addition of the ‘Practical Ophthalmology’ section to help the students to prepare for the practical examinations.
(viii)
It would have not been possible for this book to be in its present form without the generous help of many well wishers and stalwarts in their fields. Surely, I owe sincere thanks to them all. Those who need special mention are Prof. Inderbir Singh, Ex-HOD, Anatomy, PGIMS, Rohtak, Prof. R.C. Nagpal, HIMS, Dehradun, Prof. S. Soodan from Jammu, Prof. B. Ghosh, Chief GNEC, New Delhi, Prof. P.S. Sandhu, GGS Medical College, Faridkot, Prof. S.S. Shergil, GMC, Amritsar, Prof. R.K. Grewal and Prof. G.S. Bajwa, DMC Ludhiana, Prof. R.N. Bhatnagar, GMC, Patiala, Prof. V.P. Gupta, UCMS, New Delhi, Prof. K.P. Chaudhary, GMC, Shimla, Prof. S. Sood, GMC, Chandigarh, Prof. S. Ghosh, Prof. R.V. Azad and Prof. R.B. Vajpayee from Dr. R.P. Centre for Opthalmic Sciences, New Delhi, and Prof. Anil Chauhan, GMC, Tanda.
I am deeply indebted to Prof. S.P. Garg. Prof. Atul Kumar, Prof. J.S. Tityal, Dr. Mahipal S. Sachdev, Dr. Ashish Bansal, Dr. T.P. Dass, Dr. A.K. Mandal, Dr. B. Rajeev and Dr. Neeraj Sanduja for providing the colour photographs.
I am grateful to Prof. C.S. Dhull, Chief and all other faculty members of Regional Institute of Opthalmology (RIO), PGIMS, Rohtak namely Prof. S.V. Singh, Dr. J.P. Chugh, Dr. R.S. Chauhan, Dr. Manisha Rathi, Dr. Neebha Anand, Dr. Manisha Nada, Dr. Ashok Rathi, Dr. Urmil Chawla and Dr. Sumit Sachdeva for their kind co-operation and suggestions rendered by them from time to time. The help received from all the resident doctors including Dr. Shikha, Dr. Vivek Sharma and Dr. Nidhi Gupta is duly acknowledged. Dr. Saurabh and Dr. Ashima deserve special thanks for their artistic touch which I feel has considerably enhanced the presentation of the book. My sincere thanks are also due to Prof. S.S. Sangwan, Director, PGIMS, Rohtak for providing a working atmosphere. Of incalculable assistance to me has been my wife Dr. Indu Khurana, Assoc. Prof. in Physiology, PGIMS, Rohtak. The enthusiastic co-operation received from Mr. Saumya Gupta, and Mr. R.K. Gupta, Managing Directors, New Age International Publishers (P) Ltd., New Delhi needs special acknowledgement.
Sincere efforts have been made to verify the correctness of the text. However, in spite of best efforts, ventures of this kind are not likely to be free from human errors, some inaccuracies, ambiguities and typographic mistakes. Therefore, all the users are requested to send their feedback and suggestions. The importance of such views in improving the future editions of the book cannot be overemphasized. Feedbacks received shall be highly appreciated and duly acknowledged.
Rohtak |
A K Khurana |
(ix)
CONTENTSCONTENTS
Preface ............................................................................................................................................ |
vii |
|
SECTION I: ANATOMY, PHYSIOLOGY AND DISEASES OF THE EYE |
|
|
1. |
Anatomy and Development of the Eye ............................................................................... |
3 |
2. |
Physiology of Eye and Vision ............................................................................................ |
13 |
3. |
Optics and Refraction......................................................................................................... |
19 |
4. |
Diseases of the Conjunctiva ............................................................................................... |
51 |
5. |
Diseases of the Cornea ...................................................................................................... |
89 |
6. |
Diseases of the Sclera ...................................................................................................... |
127 |
7. |
Diseases of the Uveal Tract ............................................................................................ |
133 |
8. |
Diseases of the Lens ........................................................................................................ |
167 |
9. |
Glaucoma ........................................................................................................................... |
205 |
10. |
Diseases of the Vitreous................................................................................................... |
243 |
11. |
Diseases of the Retina ...................................................................................................... |
249 |
12. |
Neuro-ophthalmology ........................................................................................................ |
287 |
13. |
Strabismus and Nystagmus .............................................................................................. |
313 |
14. |
Diseases of the Eyelids .................................................................................................... |
339 |
15. |
Diseases of the Lacrimal Apparatus ................................................................................ |
363 |
16. |
Diseases of the Orbit ....................................................................................................... |
377 |
17. |
Ocular Injuries .................................................................................................................. |
401 |
18. |
Ocular Therapeutics, Lasers and Cryotherapy in Ophthalmology ................................ |
417 |
19. |
Systemic Ophthalmology .................................................................................................. |
433 |
20. |
Community Ophthalmology .............................................................................................. |
443 |
SECTION II: PRACTICAL OPHTHALMOLOGY |
|
|
21. |
Clinical Methods in Ophthalmology ................................................................................. |
461 |
22. |
Clinical Ophthalmic Cases ................................................................................................ |
499 |
23. |
Darkroom Procedures ....................................................................................................... |
543 |
24. |
Ophthalmic Instruments and Operative Ophthalmology................................................. |
571 |
Index |
........................................................................................................................................... |
593 |
