- •Contents
- •Foreword
- •Preface
- •List of Abbreviations
- •1. General Topics in Ophthalmology
- •Approach to the Patient: Exam and History
- •Embryology and Development
- •Emergencies
- •Epidemiology/Statistics
- •Genetics
- •Imaging: Computed Tomography (CT)
- •Imaging: Magnetic Resonance Imaging (MRI)
- •Optics
- •Pathology
- •Pregnancy
- •Radiation/Laser
- •Surgery
- •2. Orbit, Eyelids, and Ocular Adnexa
- •Anatomy and Physiology
- •Signs and Symptoms
- •Exam and Imaging
- •Congenital and Genetic Disease
- •Infectious Disease
- •Neoplastic, Eyelid: Benign Cystic Lesions
- •Neoplastic, Eyelid: Benign Growths
- •Neoplastic, Eyelid: Hair Follicle Tumors (‘‘Tricky’’ Tumors)
- •Neoplastic, Eyelid: Premalignant Lesions
- •Neoplastic, Eyelid: Malignant Lesions
- •Neoplastic, Eyelid and Orbital: Pigmented Lesions
- •Neoplastic, Orbital: Lacrimal Gland Tumors
- •Neoplastic, Orbital: Lymphoproliferative Lesions
- •Neoplastic, Orbital: Mesenchymal Tumors
- •Neoplastic, Orbital: Metastatic and Invasive Tumors
- •Neoplastic, Orbital: Neurogenic Tumors
- •Neoplastic, Orbital: Structural Lesions
- •Neoplastic, Orbital: Vascular Lesions
- •Metabolic and Degenerative Disease
- •Systemic and Vascular Disease
- •Physical Disease
- •Inflammatory and Immune Disease
- •Eyelid Surgery
- •Lacrimal Surgery
- •Orbital Surgery
- •Other Surgery
- •3. Cornea and Conjunctiva
- •Anatomy and Physiology
- •Signs and Symptoms
- •Exam and Imaging
- •Congenital and Genetic Disease
- •Infectious Disease
- •Neoplastic Disease: Benign Masses
- •Neoplastic: Malignant
- •Neoplastic: Melanocytic Lesions
- •Metabolic and Degenerative Disease
- •Physical Disease
- •Inflammatory and Immune Disease
- •Surgery
- •4. Glaucoma
- •Anatomy and Physiology
- •Signs and Symptoms
- •Exam and Imaging
- •Infantile and Pediatric Glaucoma
- •Primary Open-Angle Glaucoma
- •Secondary Open-Angle Glaucomas
- •Primary Angle-Closure Glaucoma
- •Secondary Angle-Closure Glaucoma
- •Surgery
- •Iris
- •Uveitis
- •Signs and Symptoms and Clinical Presentations of Uveitis
- •Anterior Uveitis Diagnosis and Work-Up
- •Anterior Uveitis Diseases
- •Intermediate Uveitis Diagnosis and Work-Up
- •Intermediate Uveitis Diseases
- •Posterior Uveitis Diagnosis and Work-Up
- •Posterior Uveitis Diseases
- •Panuveitis/Diffuse Uveitis
- •Surgery
- •6. Lens
- •Anatomy and Physiology
- •Signs and Symptoms
- •Congenital and Genetic Disease
- •Metabolic and Degenerative Disease
- •Systemic and Vascular Disease
- •Physical Disease
- •Cataract Surgery
- •Refractive Lens Surgery
- •7. Retina and Vitreous
- •Anatomy and Physiology
- •Signs and Symptoms
- •Exam and Imaging
- •Congenital and Genetic Disease
- •Hereditary Macular Disorders
- •Progressive Tapetoretinal Disorders
- •Stationary Tapetoretinal Disorders
- •Congenital and Genetic Vitreoretinopathies
- •Infectious Disease
- •Infectious Endophthalmitis
- •Neoplastic Disease
- •Metabolic and Degenerative Disease
- •Systemic and Vascular Disease
- •Physical Disease
- •Surgery: Laser
- •Surgery: Operative
- •8. Neurologic
- •Anatomy and Physiology
- •Signs and Symptoms
- •Exam and Imaging
- •Congenital and Genetic Disease
- •Infectious Disease
- •Neoplastic Disease
- •Metabolic and Degenerative Disease
- •Systemic and Vascular Disease
- •Physical Disease
- •Inflammatory and Immune Disease
- •Selected Cranial Nerve Abnormalities
- •Gaze Abnormalities
- •Nystagmus
- •Psychiatric Diseases
- •9. Pediatrics and Strabismus
- •Anatomy and Physiology
- •Signs and Symptoms
- •Exam and Imaging
- •Congenital and Genetic Disease
- •Congenital Disease: Phakomatoses
- •Strabismus: Esotropia
- •Strabismus: Exotropia
- •Strabismus: Vertical Deviations
- •Surgery
- •Other
- •10. Medications
- •General
- •Antibacterials: Aminoglycosides
- •Antibacterials: Cephalosporins and Penicillins
- •Antibacterials: Fluoroquinolones
- •Antibacterials: Inhibitors of Cell Wall Function
- •Antibacterials: Inhibitors of Nucleic Acid Synthesis
- •Antibacterials: Inhibitors of Protein Synthesis
- •Antibacterials: Combinations
- •Antibacterial and Corticosteroid Combinations
- •Antifungal Agents
- •Anti-inflammatory: Allergy
- •Anti-inflammatory: Nonsteroidals
- •Antiseptics
- •Antiviral Agents
- •Glaucoma: Beta-Blockers
- •Glaucoma: Carbonic Anhydrase Inhibitors
- •Glaucoma: Hyperosmotics
- •Glaucoma: Miotics/Cholinergic, Direct Acting
- •Glaucoma: Miotics/Cholinergic, Indirect Irreversible
- •Glaucoma: Prostaglandin Analogues
- •Glaucoma: Sympathomimetics
- •Immunosuppressives: Antimetabolites
- •Immunosuppressives: Alkylating Agents
- •Immunosuppressives: Noncytotoxic
- •Miotics: Cholinergic, Indirect Reversible
- •Mydriatics and Cycloplegics: Anticholinergic
- •Mydriatics: Adrenergic
- •Neurologic Medications
- •Other Agents
- •Index
List of Abbreviations
The following list contains the most common abbreviations used in this book.
Ab: antibody
ABK: aphakic bullous keratopathy AC: anterior chamber
AC/A: accommodative convergence/accommodation (ratio) ACAID: anterior chamber associated immune deviation ACG: angle-closure glaucoma
ACh: acetylcholine ACT: alternate cover test Ag: antigen
AIC: adult inclusion conjunctivitis
AIDS: acquired immunodeficiency syndrome AION: anterior ischemic optic neuropathy AK: astigmatic keratotomy
AKC: atopic keratoconjunctivitis ALK: automated lamellar keratoplasty ALT: argon laser trabeculoplasty
AMD: age-related macular degeneration
AMPPE: acute multifocal placoid pigment epitheliopathy ANA: antinuclear antibodies
ANCA: antineutrophil cytoplasmic antibodies APD: afferent pupillary defect
ARC: anomalous retinal correspondence ARN: acute retinal necrosis
ARPE: acute retinal pigment epitheliitis ATR: against-the-rule (astigmatism) AV: arteriovenous
AVM: arteriovenous malformation BARN: bilateral acute retinal necrosis BCC: basal cell carcinoma
BCVA: best corrected visual acuity
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xvi LIST OF ABBREVIATIONS
BI: base-in (prism)
BLRR: bilateral lateral rectus recession BM: basement membrane
BMRR: bilateral medial rectus recession BO: base-out (prism)
BRAO: branch retinal artery occlusion BRVO: branch retinal vein occlusion BSCL: bandage soft contact lens BSS: balanced salt solution
CA: cancer
CACG: chronic angle-closure glaucoma CAMP: cyclic adenosine monophosphate CAR: cancer-associated retinopathy
CB: ciliary body
C:D: cup to disk (ratio)
CDCR: canaliculodacryocystorhinostomy CE: cataract extraction
CHRPE: congenital hypertrophy of the retinal pigment epithelium CIN: conjunctival intraepithelial neoplasia
CIS: carcinoma in situ
CJDCR: conjunctivodacryocystorhinostomy CL: contact lens
CLW: contact lens wear CME: cystoid macular edema CMV: cytomegalovirus
CN: cranial nerve
CNVM: choroidal neovascular membrane
CPEO: chronic progressive external ophthalmoplegia CPF: capsulopalpebral fascia
CRA: central retinal artery
CRAO: central retinal artery occlusion CRVO: central retinal vein occlusion
CSM: central, steady, and maintained (visual acuity) CSME: clinically significant macular edema CSNB: congenital stationary night blindness
CT: cover test; computed tomography CVOS: Central Vein Occlusion Study CWS: cotton wool spot
CXR: chest x-ray D: diopter
DCG: dacryocystography DCR: dacryocystorhinostomy DD: disk diameters
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LIST OF ABBREVIATIONS |
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DDT: dye disappearance test DFE: dilated fundus exam DLK: diffuse lamellar keratitis DME: diabetic macular edema DR: diabetic retinopathy
DUSN: diffuse unilateral subacute neuroretinitis DVD: dissociated vertical deviation
E: esophoria
EBMD: epithelial basement membrane dystrophy ECCE: extracapsular cataract extraction
EIC: epidermal inclusion cyst EKC: epidemic keratoconjunctivitis
ELISA: enzyme-linked immunosorbent assay EOG: electro-oculogram
EOM: extraocular muscles ERG: electroretinogram ERM: epiretinal membrane
ESR: erythrocyte sedimentation rate ET: esotropia
E(T): intermittent esotropia EVP: episcleral venous pressure FA: fluorescein angiogram FAZ: foveal avascular zone FBS: foreign body sensation
FEVR: familial exudative vitreoretinopathy F/F: fix-and-follow (visual acuity)
FGX: fluid–gas exchange FMG: focal macular grid
FTA-Abs: fluorescent treponemal antibody absorption test FTWS: full-thickness wedge resection
5-FU: 5-fluorouracil
Fuchs’ HIC: Fuchs’ heterochromic iridocyclitis GAG: glycosaminoglycans
GARPE: geographic atrophy of the retinal pigment epithelium GCA: giant cell arteritis or temporal arteritis
GPC: giant papillary conjunctivitis gtt: drop
GVHD: graft versus host disease H: hyperphoria
H & E: hematoxylin and eosin (stain) HAART: highly active antiretroviral therapy HE: hard exudate
Hgb: hemoglobin
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xviii LIST OF ABBREVIATIONS
HIV: human immunodeficiency virus HLA: human leukocyte antigen HOF: herniated orbital fat
HPMG: hard palate mucosal graft HPV: human papilloma virus HST: horseshoe tear
HSV: herpes simplex virus HT: hypertropia
HVF: Humphrey visual field HZV: herpes zoster virus
ICCE: intracapsular cataract extraction ICE: iridocorneal endothelial (syndrome) ICG: indocyanine green
ICSR: idiopathic central serous retinopathy Ig: immunoglobulin
IK: interstitial keratitis
ILM: internal limiting membrane INO: intranuclear ophthalmoplegia IO: inferior oblique (muscle) IOF: inferior orbital fissure IOFB: intraocular foreign body IOL: intraocular lens
ION: ischemic optic neuropathy IOO: inferior oblique overaction IOP: intraocular pressure
IPD: interpupillary distance IPE: iris pigment epithelium IR: inferior rectus (muscle)
IRMA: intraretinal microvascular abnormality ISS: inferior scleral show
JOAG: juvenile open-angle glaucoma JPA: juvenile pilocytic astrocytoma JRA: juvenile rheumatoid arthritis JXG: juvenile xanthogranuloma
K: keratometry
KC: keratoconjunctivitis KCS: keratoconjunctivitis sicca KP: keratic precipitates
LASEK: laser-assisted in situ epithelial keratomileusis LASIK: laser-assisted in situ keratomileusis
LF: levator function
LGN: lateral geniculate nucleus LK: lamellar keratectomy
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LIST OF ABBREVIATIONS |
xix |
LN: latent nystagmus
LP: light perception (visual acuity) LPI: laser peripheral iridotomy LR: lateral rectus (muscle)
LTS: lateral tarsal strip (procedure) Ma: microaneurysm
MCT: medial canthal tendon MEN: multiple endocrine neoplasia
MEWDS: multiple evanescent white-dot syndrome MG: myasthenia gravis
MGD: meibomian gland dysfunction
MHA-TP: microhemagglutination—Treponema pallidum MLF: medial longitudinal fasciculus
MMC: mitomycin C
MMP: matrix metalloproteinase MP: membrane peel
MPS: mucopolysaccharides MR: medial rectus (muscle)
MRA: magnetic resonance angiography MRI: magnetic resonance imaging MS: multiple sclerosis
MTMT: maximal tolerated medical therapy MVR: microvitreoretinal
NAION: nonarteritic anterior ischemic optic neuropathy NAT: nonaccidental trauma
NBS: nystagmus blocking syndrome NF: neurofibromatosis
NFL: nerve fiber layer NLD: nasolacrimal duct
NLDO: nasolacrimal duct obstruction NLP: no light perception (visual acuity) NPC: near point of convergence
NPDR: nonproliferative diabetic retinopathy NRC: normal retinal correspondence
NTG: normal tension glaucoma NV: neovascularization
NVA: neovascularization of the angle NVD: neovascularization of the disk NVE: neovascularization elsewhere NVG: neovascular glaucoma
NVI: neovascularization of the iris OA: ocular albinism
OAG: open-angle glaucoma
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xx LIST OF ABBREVIATIONS
OCP: ocular cicatricial pemphigoid OCT: optical coherence tomography OD: right eye (L. oculus dexter) OHS: ocular histoplasmosis syndrome OHT: ocular hypertension
OKN: optokinetic nystagmus OIS: ocular ischemic syndrome ON: optic nerve
ONH: optic nerve hypoplasia
ONSD: optic nerve sheath decompression OPL: outer plexiform layer
OS: left eye (L. oculus sinister)
OU: both eyes
PACG: primary angle-closure glaucoma PAM: primary acquired melanosis PAS: peripheral anterior synechiae PBK: pseudophakic bullous keratopathy PC: posterior chamber
PCA: posterior communicating artery PCO: posterior capsule opacification pD: prism diopters
PD: pupillary distance
PDG: pigment dispersion glaucoma PDR: proliferative diabetic retinopathy PDS: pigment dispersion syndrome PDT: photodynamic therapy
PED: pigment epithelial detachment PEE: punctate epithelial erosions PEK: punctate epithelial keratitis PF: palpebral fissure
PFV: persistent fetal vasculature
PHPV: persistent hyperplastic primary vitreous PI: peripheral iridectomy
PIC: punctate inner choroidopathy PION: posterior ischemic optic neuropathy PIP: pseudoisochromatic plates
PK: penetrating keratoplasty PMB: papulomacular bundle PMMA: polymethylmethacrylate PO: by mouth, orally (L. per os)
POAG: primary open-angle glaucoma PPA: peripapillary atrophy
PPMD: posterior polymorphous membrane dystrophy
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LIST OF ABBREVIATIONS |
xxi |
PPRF: paramedian pontine reticular formation PRK: photorefractive keratectomy
prn: as circumstances may require (L. pro re nata) PRP: panretinal photocoagulation
PSC: posterior subcapsular (cataract) PTC: pseudotumor cerebri
PTK: phototherapeutic keratectomy PUK: peripheral ulcerative keratitis PVD: posterior vitreous detachment PVR: proliferative vitreoretinopathy PXG: pseudoexfoliative glaucoma PXS: pseudoexfoliation syndrome qd: every day
qid: four times a day RA: rheumatoid arthritis RB: retinoblastoma
RCE: recurrent corneal erosion RD: retinal detachment
RF: rheumatoid factor; radio frequency RGP: rigid gas-permeable contact lens RK: radial keratotomy
ROP: retinopathy of prematurity RP: retinitis pigmentosa
RPB: relative pupillary block RPE: retinal pigment epithelium
R & R: resect and recess (strabismus surgery) RRD: rhegmatogenous retinal detachment SAC: seasonal allergic conjunctivitis
SBP: scleral buckle procedure SC: sickle cell (disease)
SCC: squamous cell carcinoma SCL: soft contact lens
SEI: subepithelial infiltrate SiO: silicone oil
SJS: Stevens-Johnson syndrome SLD: staphylococcal lid disease
SLK: superior limbal keratoconjunctivitis SMAS: superficial musculoaponeurotic system SO: superior oblique (muscle)
SOAG: secondary open-angle glaucoma SOF: superior orbital fissure
SOO: superior oblique overaction SOOF: suborbicularis oculi fascia
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xxii LIST OF ABBREVIATIONS
SPCT: simultaneous prism cover test SPK: superficial punctate keratitis SR: superior rectus (muscle)
SRF: subretinal fluid SS: scleral spur
STK: sub-Tenon’s Kenalog
SVP: spontaneous venous pulsation TAB: temporal artery biopsy TBUT: tear break-up time
TIA: transient ischemic attack tid: three times a day
TID: transillumination defect TM: trabecular meshwork
TON: traumatic optic neuropathy TRD: tractional retinal detachment
TRIO: thyroid-related immune orbitopathy TSH: thyroid-stimulating hormone
TTT: transpupillary thermotherapy TVO: transient visual obscurations
UGH: uveitis-glaucoma-hyphema (syndrome) UV: ultraviolet (light)
VA: visual acuity
VDRL: Venereal Disease Research laboratory test VEGF: vascular endothelial cell growth factor VEP: visual evoked potential
VF: visual field
VH: vitreous hemorrhage VKC: vernal keratoconjunctivitis
VKH: Vogt-Koyanagi-Harada disease VMT: vitreomacular traction
VOR: vestibulo-ocular reflex W4D: Worth four-dot test
WEBINO: wall-eyed bilateral intranuclear ophthalmoplegia WTR: with-the-rule (astigmatism)
WWP: white without pressure X: exophoria
XLD: X-linked dominant XLR: X-linked recessive XT: exotropia
X(T): intermittent exotropia
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