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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

© 2005 by Blackwell Science Ltd a Blackwell Publishing company

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The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

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

A catalogue record for this title is available from the British Library

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by SNP Best-set Typesetter Ltd., Hong Kong Printed and bound in India

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The publisher’s policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards.

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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