Ординатура / Офтальмология / Английские материалы / Notes on Veterinary Ophthalmology_Crispin_2005
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NOTES ON VETERINARY OPHTHALMOLOGY
N O T E S O N V E T E R I N A RY O P H T H A L M O L O G Y
Sheila Crispin MA Vet MB BSc PhD
DVA DVOphthal DipECVO FRCVS
Professor of Comparative Ophthalmology
University of Bristol
Colour pictures sponsored by
Blackwell
Science
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First published 2005
Library of Congress Cataloging-in-Publication Data
Crispin, Sheila M.
Notes on veterinary ophthalmology / Sheila Crispin. – 1st ed.
p.cm.
Includes bibliographical references (p. ) ISBN 0-632-06416-1 (pbk. : alk. paper) 1. Veterinary ophthalmology. I. Title.
SF891.C75 2005 636.089¢77 – dc22
2004009930
ISBN 0-632-06416-1
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CONTENTS
Preface and Acknowledgements |
ix |
Abbreviations |
x |
Section 1 |
|
Ophthalmic Equipment and Examination |
1 |
Instruments and equipment |
3 |
Examination |
11 |
Section 2 |
|
Ophthalmic Emergencies and Trauma |
21 |
Introduction |
23 |
Acute exophthalmos (proptosis) |
24 |
Foreign bodies |
30 |
Trauma |
35 |
Endophthalmitis and panophthalmitis as complicating factors in ocular insult |
49 |
Complicated ulcers and corneal infection |
51 |
Liquefactive stromal necrosis |
52 |
Chemical injuries |
54 |
Thermal burns |
56 |
Acute uveitis |
57 |
Acute glaucoma |
57 |
Sudden loss of vision |
59 |
Sudden ocular pain |
61 |
Referrals |
62 |
Section 3 |
|
General and Canine Ophthalmology |
65 |
Introduction |
67 |
Globe and orbit |
69 |
Eyelids |
74 |
Lacrimal system |
95 |
Conjunctiva |
101 |
Limbus, episclera and sclera |
105 |
Cornea |
109 |
Uveal tract (iris, ciliary body and choroid) |
123 |
Anterior chamber and aqueous humour |
142 |
Glaucomas |
146 |
Lens |
151 |
Vitreous |
155 |
Ocular Fundus |
158 |
Optic nerve |
171 |
vi |
Contents |
|
|
Section 4 |
|
Feline Ophthalmology |
177 |
Introduction |
179 |
Globe and orbit |
181 |
Eyelids |
182 |
Lacrimal system |
186 |
Conjunctiva |
188 |
Limbus, episclera and sclera |
196 |
Cornea |
196 |
Uveal tract |
202 |
Anterior chamber and aqueous humour |
213 |
Glaucomas |
215 |
Lens |
216 |
Vitreous |
218 |
Ocular fundus |
218 |
Neuro-ophthalmology |
227 |
Section 5 |
|
Rabbit Ophthalmology |
229 |
Introduction |
231 |
Orbit |
232 |
Eyelids and conjunctiva |
233 |
Lacrimal system |
234 |
Cornea |
235 |
Uveal tract |
236 |
Lens |
237 |
Glaucomas |
237 |
Fundus |
237 |
Section 6 |
|
Farm Animal Ophthalmology |
239 |
Introduction |
241 |
Anatomy |
241 |
Handling and examination |
241 |
Congenital and early-onset developmental conditions |
244 |
Globe and orbit |
250 |
Eyelids |
250 |
Lacrimal system |
252 |
Conjunctiva |
252 |
Cornea |
258 |
Uveal tract |
258 |
Lens |
260 |
Ocular fundus |
261 |
Some causes of cortical blindness in farm animals |
263 |
Contents |
vii |
|
|
Section 7 |
|
Equine Ophthalmology |
265 |
Anatomy |
268 |
Examination |
269 |
Lavage devices |
272 |
Ocular and adnexal conditions |
274 |
Globe and orbit |
275 |
Eyelids |
276 |
Lacrimal system |
281 |
Conjunctiva |
285 |
Cornea |
287 |
Uveal tract |
294 |
Glaucomas |
306 |
Lens |
310 |
Vitreous |
311 |
Ocular fundus |
312 |
Appendix 1 |
|
Ophthalmic Terminology |
323 |
General |
325 |
Globe and orbit |
326 |
Eyelids |
327 |
Lacrimal apparatus |
328 |
Conjunctiva |
328 |
Limbus, episclera and sclera |
328 |
Cornea |
328 |
Uveal tract |
329 |
Anterior chamber and aqueous humour |
330 |
Glaucomas |
330 |
Lens |
330 |
Vitreous humour |
330 |
Retina |
331 |
Optic nerve head (ONH) and optic nerve |
331 |
Appendix 2 |
|
Topical Ophthalmic Preparations |
333 |
General notes |
335 |
Diagnostic preparations |
335 |
Local anaesthetics |
335 |
Tear-replacement agents and ocular lubricants |
336 |
Immunosuppressants |
337 |
Anti-infective preparations |
337 |
Anti-inflammatories |
339 |
Glaucoma treatment |
341 |
Mydriatics and cycloplegics |
343 |
viii |
Contents |
|
|
Appendix 3 |
|
Basic Principles of Ocular and Adnexal Surgery |
345 |
Preoperative preparation and postoperative care |
347 |
General anaesthesia |
347 |
General equipment |
349 |
Instrument sets |
349 |
Appendix 4 |
|
Cranial Nerve Innervation of the Eye and Adnexa |
353 |
Further Reading |
357 |
Index |
361 |
PREFACE AND ACKNOWLEDGEMENTS
This brief text comprises the ophthalmology notes used to teach the theory of veterinary ophthalmology to generations of veterinary students. They have been expanded to provide a more comprehensive overview for those in general practice with an interest in, but no specialist knowledge of, veterinary ophthalmology. The first section sets out the instruments that are used and the manner in which examination of the eye and adnexa is performed; this is followed by a section on emergencies and trauma that crosses the species. There are then sections that cover general and canine ophthalmology, feline ophthalmology, rabbit ophthalmology, farm animal ophthalmology and equine ophthalmology. The notes conclude with brief appendices on ophthalmic terminology, topical medical preparations, basic principles of anaesthesia and surgery and the cranial nerves innervating the eye and adnexa.
I am indebted to Janssen Animal Health for a most generous donation towards the cost of the colour photographs. I am very grateful to the Photography Unit of the Bristol Veterinary School for many of the photographs taken by Mr John Conibear and Mrs Tracy Dewey and to Mr Nick Crabb for the line drawings. I am particularly indebted to Mr John Mould for the excellent gross and microscopic preparations of the eye.
I wish to acknowledge the major contributions of Professor Dennis Brooks and Dr Andy Matthews to uveitis and glaucoma in the equine section. My past colleagues in the Ophthalmology Unit have given generously of their time and expertise and particular thanks go to Dr David Gould for commenting on early drafts of the manuscript and also to Mr Jim Carter and Mr Rob Lowe for their support. Any errors, however, rest entirely with the author.
My thanks go to many colleagues, in both medical and veterinary ophthalmology, for engendering and stimulating my interest in this fascinating subject.
S. Crispin
2004
