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secondary glaucomas 133, 211–216, 233, 270– 273

following chemical injury 522

treatment 253–264, 267– 270, 273, 276

indications for 253– 254

mechanical indentation of the cornea 268 medical therapy 254– 255, 256–261, 267–

268

surgical treatment 256– 264, 268–270

Glifford's sign 412 glioma 387

optic nerve 422 glucocorticoids 552, 560 glycerine, glaucoma treat-

ment 261 glycolipid lipidosis 146 goblet cells 51

degeneration in conjunctival xerosis 73

density of 53 gold salts 559

Goldenhar's syndrome 20, 104

Goldmann hemispheric perimeter 391, 392– 393

Goldmann's applanation tonometry 240, 242

gonioscopy 202, 238–240, 252

in children 275 goniotomy 276 gonococcal conjunctivitis

85

neonatal 95, 96–98 granular dystrophy 148, 149 granulomas 80, 104

eosinophilic 421 Graves' disease 411–413,

484, 532–533, 534 guanethidine 553, 555

glaucoma treatment 259

H

Haab's striae 275

Haemophilus aegyptius conjunctivitis 87

Haemophilus influenzae conjunctivitis 86

haloperidol 557 Hand-Schüller-Christian

disease 421

Harms tangent table 492– 493

hay fever 98, 101 headache 536–537

Helmholtz ophthalmometer 442

hemangioma choroid 202

conjunctival 104, 106 eyelid 43–44

optic nerve 386 orbital cavity 420 retina 356–357

hematoma orbital 419 retrobulbar 512

hemorrhage 535 subconjunctival 72, 499,

543

vitreous 287–290, 294, 497, 513, 545

herpes simplex 34, 538 conjunctivitis 89, 98 keratitis 132–134 retinal infection 350, 351

herpes zoster ophthalmicus 35–36, 539

conjunctivitis 89 keratitis 134

retinal infection 350, 351 Hertel mirror exoph-

thalmometer 407– 408

heterochromia 206 heterophoria 455, 466, 480 high blood pressure see

hypertension Hirschberg's method 471–

472 histiocytosis X 421 history 3–4, 497

holmium laser correction of hyperopia 151, 156

H

Index 573

homatropine, effects on pupil 225 homocystinuria, lens dis-

placement and 195, 196

hordeolum 38–39, 538 differential diagnosis 58,

64

horizontal gaze palsy 483 Horner's syndrome 23, 24, 229–230, 534, 541

central 230 peripheral 230

Horton's arteritis 320–321 Hruby-Irvine-Gass syn-

drome 294 Hudson-Stähli line 146 human papillomavirus 106 Humphrey field analyzer

391, 394–395 Hurler's syndrome 411 Hutchinson's sign 134 hyaline

degeneration 69 deposits 148, 149

hyaloid

artery, persistent 285, 366 canal 279, 284

fossa 165 membrane 280

hydrophthalmia 273 hydrophthalmos 273, 285 hydroxychloroquine 558,

559 hyperemia 75, 76 hyperlysinemia 195

hypermature cataract 177– 179

hypermetropia see hyperopia

hyperopia 5, 433, 436–440, 547, 549

axial 438 correction 439–440

converging lenses 439– 440

epikeratophakia 156 holmium laser 156 photorefractive kera-

tectomy 155 latent 438–439, 445 newborn 437 refractive 438

I

574

Index

 

 

 

 

hyperopia

 

 

 

inferior concha 51

 

twenty-four hour pres-

 

 

 

strabismus and 465

 

inflammation

 

sure curve 243, 252

hyperostoses 420

 

 

 

anterior chamber 146

 

see also glaucoma

hypertension 323

 

 

 

lacrimal sac see dacry-

 

ionizing radiation injuries

ocular 253

 

 

 

ocystitis

 

524–525

hypertensive retinopathy

 

orbital see orbital cavity

 

iridectomy, peripheral 268

323–325

 

 

 

phacogenic 208

 

iridocyclitis 208, 209

hypertropia 471

 

 

 

sclera 158–159

 

acute 208–212

hyphema 11, 208, 210, 513

 

uveal tract 208–215

 

chronic 212–213

hypoglycemia 544

 

inflammatory glaucoma 271

 

complicated cataract in

hypoplasia, orbital 410

 

infranuclear ocular motility

 

180, 181

hypopyon 11, 128, 129, 536

 

disturbance 482, 483

 

recurrent 206

in uveal tract inflamma-

 

infrared radiation cataract

 

iridodialysis, blunt trauma

tion 208, 210

182

 

and 510

sterile 536

 

 

 

injuries see ocular trauma

 

iridodonesis 169, 196

with bacterial keratitis

 

intermittent

 

iridotomy 268

131

 

 

 

exophthalmos 419

 

iris 199–201, 428

with mycotic keratitis 135

 

exotropia 471, 472

 

aniridia 202–203

hypotension papilledema

 

internal

 

collarette 200

369

 

 

 

astigmatism 441, 444

 

color 201

hypothalamus 396

 

oculomotor nerve palsy

 

pigmentation anoma-

hypotropia 471

 

 

491

 

lies 206

 

 

 

 

internal carotid artery 396,

 

defects 229, 531, 533

I

 

 

404

 

examination methods

 

 

 

aneurysm 398, 399

 

201–202

 

 

 

 

stenosis 404

 

melanoma 216

ibuprofen 560

 

 

 

internuclear ocular motility

 

neovascularization 215–

idoxuridine 553

 

 

 

disturbance (INO)

 

216

illacrimation 64

 

 

482, 484, 485

 

prolapse 129

with conjunctivitis 74, 76,

 

intracapsular cataract

 

see also uveal tract

78

 

 

 

extraction 189

 

iris print lenses 454

imipramine 557

 

 

 

intraocular lens (IOL) 187,

 

iritis 208

impalement injuries of the

188

 

acute 208–212

orbit 515–517

 

anisometropia correction

 

chronic 212–213

impression cytology 53, 63

444, 445

 

iron deposits

inclusion conjunctivitis 60,

 

implantation 191

 

conjunctiva 111, 114

80, 92–93

 

 

 

for congenital cataract

 

cornea 146

incomitant

 

 

194

 

iron foreign bodies 515

angle of deviation 481,

 

myopia correction 436

 

irregular astigmatism 441–

488–490

 

 

 

intraocular pressure 233,

 

442, 444

strabismus 459

 

 

542

 

irrigation 53, 54, 55

indentation tonometry 240,

 

measurement of 15, 240–

 

following chemical injury

241

 

 

244, 252, 451

 

518–520

indomethacin 560

 

applanation tonometry

 

in conjunctivitis 82

infantile

 

 

240, 242, 275, 435

 

Ishihara plates 311

esotropia 468–469

 

in children 275

 

isocoria 220, 226

recessive optic atrophy 383

 

palpation 15, 240

 

with constricted pupils

strabismic amblyopia

 

pneumatic non-contact

 

230–231

472–473

 

 

 

tonometry 240–241

 

with dilated pupils 231–

treatment and

 

Schiøtz indentation

 

232

avoidance 477–479

 

tonometry 240, 241

 

with normal pupil size

infants see children;

 

tonometric self exami-

 

227

neonate

 

 

 

nation 243–244

 

isoniazid 558

 

 

 

 

 

 

 

J

jaundice 115, 158

Javal ophthalmometer 442 juvenile

glaucoma 236, 273–277 retinoschisis 293

K

Kaposi's sarcoma 113–114 Kayser-Fleischer ring 146 keratectomy

photorefractive 151, 155 astigmatism correction

156 phototherapeutic 151, 154

keratitis 127–141, 529

Acanthamoeba 136–137, 455

bacterial 130–132 contact lens complica-

tions 454–455 dendritic 132–133 diagnosis 130 diskiform 133 exposure 140

in Graves' disease 413 mycotic 134–136 neuroparalytic 141 pathogenesis 128–130 peripheral furrow 147–

148

predisposing factors 128 stromal 133

superficial punctate 138– 139

viral 132–134

herpes simplex 132– 134

herpes zoster 134 keratoacanthoma 42, 43 keratoconjunctivitis 74, 89,

93–95

contact lens incompatibility and 142

phlyctenular 98, 102 sicca 62–63, 138, 528,

530

rose bengal test 52, 63 ultraviolet radiation-

induced 523

keratoconus 125–126, 533, 547

keratoglobus 127, 533 keratomalacia 148 keratopathy 546

bullous 143–144, 148 calcific band 146–147,

212 keratoplasty 136

allograft rejection 152– 153, 154

emergency 136, 152 epikeratophakic 151, 156 lamellar 151, 153–154 penetrating (corneal

transplant) 117–118, 143, 149, 151–153, 521

tectonic 152 keratoscope 121, 442

keratotomy, radial 151, 155– 156

Kestenbaum's operation 494 kinetic perimetry 391, 392–

393 Kocher's sign 412

L

lacrimal canaliculi 51 caruncle 67 endoscopy 53 nerve 50

lacrimal gland 50, 51 accessory lacrimal glands

50, 51 disorders 64–66

dacryoadenitis 64–65 tumors 66

injuries to 499 nerve supply 50 structure of 50

lacrimal sac 51 abscess 57 fistula 57

inflammation of see dacryocystitis

injuries to 499 stenosis 57 tumors 61

lacrimal system 49–66

L

Index 575

disorders of lower lacrimal system 57–61, 530

canaliculitis 61 dacryocystitis 57–60

dysfunction 62–64, 138 illacrimation 64 karatoconjunctivitis

sicca 62–63 examination methods

52–57

tear drainage evaluation 53–57

tear formation evaluation 52–53

injuries to 499, 500–503 tear drainage 51

tear film 50–51

see also lacrimal gland; nasolacrimal duct

lacrimation see illacrimation lagophthalmos 140 lamellar

cataract 183, 184 keratoplasty 151, 153–

154

allograft rejection 154 lamina cribrosa 157, 361 Langerhans' cell prolifera-

tion 421 Lang's test 477

laser interference visual acuity testing 431

laser therapy

diabetic retinopathy 317, 318

excimer laser in situ keratomileusis (LASIK) 151, 156

glaucoma

argon laser trabeculoplasty 261–262

laser cycloablation 264 Nd:YAG laser iridotomy

268, 269

holmium laser correction of hyperopia 156

latanoprost, glaucoma treatment 260

latent

hyperopia 438–439, 445 nystagmus 468

M

576

Index

 

 

 

 

latent

 

 

 

lid lag 23

 

mannitol, glaucoma treat-

 

 

 

strabismus see hetero-

 

ligament

 

ment 261

phoria

 

 

 

of Lockwood 460

 

marble-bone disease of

lateral geniculate body 359,

 

of Wieger 280

 

Albers-Schönberg 411

389

 

 

 

light

 

Marcus Gunn pupil 227

lesions 400

 

 

 

adaptation 303

 

Marfan's syndrome, lens

lattice

 

 

 

reflex 219–220

 

displacement and

degeneration 334–335

 

consensual 220

 

195, 196, 197

dystrophy 148

 

 

 

testing of 221–223

 

mature cataract 174, 177,

lead 562

 

 

 

lime injury 518, 521

 

186

Leber's atrophy 382–383

 

lipodermoid, differential

 

maxillary sinus 403

lens 165–197

 

 

 

diagnosis 65

 

mechanical injuries see ocu-

accommodation mecha-

 

lipomatous pseudophakia

 

lar trauma

nism 426

 

 

285

 

medical history 3

aging 168

 

 

 

liquefactive necrosis 518

 

megalocornea 118, 124, 127

developmental anomalies

 

lithium 557

 

meibomian glands 18, 50

169

 

 

 

loa loa 90

 

adenocarcinoma 47

dislocation 195–197, 533

 

loupes 456

 

hordeolum 38

embryology 165–167, 279

 

louse infestation, eyelids 37

 

melanin 201

examination of 12, 168–

 

low-tension glaucoma 253,

 

deficiency 206

169

 

 

254

 

melanocytoma 385

retroillumination

 

lower eyelid see eyelids

 

melanoma 110, 112–113

(Brückner's test) 168–

 

luxation of the lens 195

 

choroid 216, 217

169

 

 

 

Lyell's syndrome 99, 103

 

ciliary body 217

function 165

 

 

 

Lyme disease 351–352

 

iris 216

metabolism 167–168

 

lymph nodes, swollen, in

 

melanosis

position in eye 165, 166

 

conjunctivitis 76, 79

 

congenital 108, 110, 112–

shape 165, 166

 

 

 

lymphoma 421

 

113

subluxation 195, 197, 510,

 

conjunctival 113

 

conjunctival 108–112

533

 

 

 

 

 

oculodermal 112

surgical removal of 436

 

M

 

of the iris 206

water content 168

 

 

membranes, in conjunctivi-

see also cataract; contact

 

 

 

tis 76, 78, 81

lenses; eyeglass

 

macropsia 335, 337

 

membranous cataract 285

lenses; intraocular

 

macula lutea 300–302, 389

 

meningioma 387, 398, 407,

lens (IOL)

 

 

 

macular

 

420–421

lenticonus 169, 170

 

degeneration, age-related

 

meningoencephalocele 410

lentiglobus 169

 

 

 

337–338, 546, 549

 

metallic foreign bodies in

Letterer-Siwe disease 421

 

dystrophies 148, 150, 340–

 

the conjunctiva 111,

leukemic infiltrations 421

342

 

115

leukocoria 169, 185

 

Best's vitelliform dys-

 

metamorphopsia 335, 337

differential diagnosis 286

 

trophy 313, 341–342

 

metastases

in children 548

 

 

 

Stargardt's disease 311,

 

orbital cavity 421

in Coats' disease 325, 548

 

340–341

 

uveal 217

in retinoblastoma 354, 548

 

edema 317, 319

 

methyl alcohol 562

with persistent hyper-

 

Maddox's cross 475

 

metipranolol, glaucoma

plastic primary vit-

 

magnetic resonance imag-

 

treatment 259

reous 285, 286

 

ing, orbital cavity 409

 

microcornea 118, 124, 127

levator palpebrae muscle 23

 

magnifying vision aids 455–

 

microphakia 169

elongation of 540

456

 

microphthalmos 124, 285,

tears in 540

 

 

 

mandibulofacial

 

438

levobunolol, glaucoma

 

dysostosis 20, 410

 

micropsia 335, 337

treatment 259

 

dysplasia 410

 

microstrabismus 469

 

 

 

 

 

 

 

N

 

 

 

 

 

 

Index

577

midazolam 556

 

 

endophthalmitis 291, 292

 

necrosis

 

 

 

 

migraine, ocular 402, 544,

 

 

keratitis 134–136

 

acute retinal necrosis syn-

549

 

 

 

mydriasis 220, 427, 542

 

drome 133

Mikulicz's syndrome 65

 

 

myelinated nerve fibers

 

liquefactive 518

minimum

 

 

365–366

 

neonate

 

threshold resolution 423,

 

 

myogenic

 

conjunctivitis 95–98

424

 

 

 

ophthalmoplegia 484–

 

differential diagnosis

visual angle 423

 

486

 

96–97

 

minus lenses 5, 435–436

 

 

ptosis 23–24

 

dacryocystitis 60, 97

see also contact lenses;

 

 

myopia 5, 432–436, 535,

 

newborn hyperopia 437

eyeglass lenses

 

547, 549

 

see also children

miosis 220, 427, 541

 

 

axial 434

 

neostigmine 553

Horner's syndrome 230

 

 

correction 435–436

 

glaucoma treatment 257

Mittendorf's dot 183, 284

 

 

contact lenses 436

 

neovascular glaucoma 271,

molluscum contagiosum 42

 

 

diverging lenses 435–

 

272

 

monocular

 

436

 

neovascularization in the

loupes 456

 

 

epikeratophakia 156

 

iris see rubeosis iridis

testing 450–451

 

 

excimer laser in situ

 

nerve

 

monofocal lenses 447

 

 

keratomileusis

 

abducent, lesions 482

Moraxella

 

 

(LASIK) 156

 

palsy 486, 490–491

conjunctivitis 87

 

 

photorefractive kera-

 

ciliary 157, 199

keratitis 130

 

 

tectomy 155

 

cranial, palsies 490, 531

Morgagni's cataract 178

 

 

radial keratotomy 155–

 

facial, palsy 140

morning glory disk 385

 

156

 

lacrimal 50

 

morphine 557

 

 

degenerative 339–340

 

oculomotor see oculomo-

mucocele 417

 

 

pathologic 434

 

tor nerve

mucormycosis 417

 

 

refraction in 432

 

optic see optic nerve

multifocal lenses see eye-

 

 

refractive 434

 

trigeminal 134, 141

glass lenses

 

 

simple 434

 

trochlear, lesions 482

Munson's sign 126

 

 

staphyloma 158, 159

 

palsy 486, 487–488,

muscle

 

 

myopia syndrome 434–435

 

489, 491

ciliary see ciliary body

 

 

myopic

 

nervus intermedius 50

(muscle)

 

 

crescent 364

 

neurinoma 420

dilator pupillae 200, 220

 

 

sclerosis 434

 

neuritis see optic neuritis

extraocular muscles 459–

 

 

myositis 416–417, 486, 532,

 

neurofibroma 45, 420

463

 

 

535

 

neurofibromatosis 44–45,

paralysis 486, 491

 

 

myotonic dystrophy, cata-

 

386, 420, 421, 422

levator palpebrae 23

 

 

ract with 179–180

 

neuroparalytic keratitis 141

elongation of 540

 

 

 

 

neuroretinal rim 361

tears in 540

 

 

N

 

nevus

 

oblique 459–463

 

 

 

choroidal 217

primary oblique muscle

 

 

 

 

conjunctival 108, 109

dysfunction 471, 479

 

 

Nagel anomaloscope 311

 

flammeus 44

orbicularis oculi 17, 51

 

 

naphazoline 553

 

Ota's 112

 

rectus 459–462

 

 

nasolacrimal duct 51

 

newborn hyperopia 437

sphincter 200, 220

 

 

examination of 7

 

see also neonate

blunt trauma and 511

 

 

Nd:YAG laser iridotomy 268,

 

nicotinic acid 561

tarsal 17

 

269

 

nodose conjunctivitis 91

myasthenia gravis 23–24,

 

 

near point 427

 

nuclear cataract

484–485, 541

 

 

testing 451

 

acquired 173, 174, 176

mycoses 417

 

 

near reflex 220

 

congenital 183, 184

mycotic

 

 

evaluation of 223–224

 

nuclear ocular motility dis-

conjunctivitis 82, 91, 98

 

 

nearsightedness see myopia

 

turbance 482, 483

 

 

 

 

 

 

 

 

O

578

Index

 

 

 

 

 

nystagmus 494–495

 

 

mechanical disturbances

 

to lacrimal system 499,

 

 

congenital 495

 

 

 

486

 

500–503

fixation 495

 

 

 

 

myogenic disturbances

 

sclera 158

forms of 495

 

 

 

 

484–486

 

secondary angle closure

gaze palsy 495

 

 

 

 

neurogenic disturbances

 

glaucoma and 272

latent 468, 495

 

 

 

 

482–484

 

traumatic cataract see cat-

ocular 495

 

 

 

 

infranuclear distur-

 

aract

optokinetic 494

 

 

 

 

bance 482, 483

 

ocular-mucocutaneous syn-

 

 

 

 

 

internuclear distur-

 

dromes 99, 102

O

 

 

 

 

bance 482, 484, 485

 

oculoauriculovertebral dys-

 

 

 

 

nuclear disturbance

 

plasia 20, 410

 

 

 

 

482, 483

 

oculocutaneous albinism

oblique

 

 

 

 

supranuclear distur-

 

206

astigmatism 441

 

 

bance 482, 483–484

 

oculodermal melanosis 112

entry of optic nerve 363–

 

 

see also nystagmus; stra-

 

oculomandibular dysostosis

364

 

 

 

 

bismus

 

410

oblique muscles 459–460,

 

 

ocular trauma 497–525

 

oculomotor nerve 461

462–463

 

 

 

 

chemical injuries 517–

 

aplasia 23

direction of pull 461

 

522

 

lesions 482

nerve supply 461

 

 

treatment 518–521

 

palsy 23, 228, 491, 541

primary oblique muscle

 

 

classification of injuries

 

complete 228, 491

dysfunction 471

 

498

 

external 491

surgical correction 479

 

 

colobomas and 203, 205

 

internal 491

occlusion therapy 477–479

 

 

examination methods

 

Onchocerca volvulus 352

ochronosis 112, 114, 158

 

 

497–498

 

onchocerciasis 90, 352

ocular

 

 

 

 

indirect trauma 525

 

open angle glaucoma see

albinism 206, 207

 

 

injuries due to physical

 

glaucoma

alignment evaluation 471–

 

 

agents 523–525

 

open-globe injuries 514–

472

 

 

 

 

burns 523–524

 

515

hypertelorism 409

 

 

radiation injuries 524–

 

ophthalmia

hypertension 253

 

525

 

neonatorum (neonatal

migraine 402, 544, 549

 

 

ultraviolet keratocon-

 

conjunctivitis) 95–98

motility see ocular motil-

 

 

junctivitis 523

 

sympathetic 214–215,

ity

 

 

 

 

lens displacement and

 

446

myositis 416–417, 486,

 

195, 196

 

ophthalmic

532, 535

 

 

 

 

mechanical injuries 498–

 

artery 199, 404

nystagmus 495

 

 

 

517

 

veins 199, 405

pemphigoid 99, 103

 

 

blow-out fracture 507–

 

ophthalmic examination see

torticollis 488

 

 

 

513, 532, 534, 539,

 

examination

trauma see ocular trauma

 

540

 

ophthalmometer 442, 443

ocular motility 5, 407, 459–

 

 

blunt trauma (ocular

 

ophthalmoplegia 481–494,

461

 

 

 

 

contusion) 506–507,

 

540

acquired disturbances

 

 

508–513

 

chronic progressive exter-

482

 

 

 

 

conjunctival laceration

 

nal

congenital disturbances

 

 

499–503

 

ophthalmoplegia

482

 

 

 

 

eyelid injury 498–499,

 

(CPEO) 486

in cavernous sinus throm-

 

 

500–503

 

diagnosis 492

bosis 415–416

 

 

foreign bodies 503–505

 

double vision 486–487

in orbital cellulitis 414,

 

 

impalement injuries of

 

myogenic 484–486

415

 

 

 

 

the orbit 515–517

 

neurogenic 482–484

in orbital pseudotumor

 

 

open-globe injuries

 

total 415

416

 

 

 

 

514–515

 

see also ocular motility

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O

 

 

 

 

 

 

Index

579

ophthalmoplegic migraine

 

 

blood supply 361, 362

 

orbital cavity 403–422

 

 

402

 

 

 

examination methods

 

blood supply 404–405

ophthalmoscope 1

 

 

244–246, 252, 362–

 

developmental anomalies

ophthalmoscopy 13

 

363

 

409–411

choroid 202

 

 

swinging flashlight test

 

craniofacial dysplasia

fundus 304–306

 

223

 

409–410

optic disk 244–246, 252

 

 

glaucoma and 244–246,

 

mandibulofacial dys-

in children 275

 

247

 

plasia 410

trauma 497

 

 

injury to 512

 

meningoencephalocele

vitreous body 281

 

 

intracranial portion 361

 

410

 

optic chiasm 359, 389

 

 

intraocular portion 360–

 

osteopathies 411

lesions 396–400

 

361

 

examination methods

optic cup 244–245, 275,

 

 

intraorbital portion 361

 

405–409

308, 361

 

 

 

myelinated nerve fibers

 

fat hernia 539

myopia and 435

 

 

365–366

 

Graves' disease and 411–

optic disk 13, 308, 360

 

 

oblique entry of 363–364

 

413

 

age-related changes 310

 

 

pits 383–384

 

impalement injuries 515–

blood supply 361

 

 

tumors 385–387

 

517

 

coloboma 385

 

 

astrocytoma 385–386

 

importance for eye 403

disorders that obscure the

 

 

glioma 422

 

inflammation 413–417

margin 363–379

 

 

hemangioma 386

 

cavernous sinus throm-

anterior ischemic optic

 

 

intraocular 385–386

 

bosis 415–416

neuropathy (AION)

 

 

melanocytoma 385

 

mucocele 417

374–379, 536, 544,

 

 

retrobulbar 387

 

mycoses 417

546

 

 

 

see also optic disk

 

myositis 416–417

Bergmeister's papilla

 

 

optic neuritis 370–374, 415

 

orbital periostitis 417

366

 

 

 

papillitis 370, 372–374,

 

orbital pseudotumor

drusen 366–367, 372

 

375

 

416

 

infiltrative edema 379

 

 

retrobulbar 363, 370, 372–

 

see also orbital cellulitis

myelinated nerve fibers

 

373, 545, 547

 

surgery 422

 

365–366

 

 

optic neuropathy see ante-

 

tumors 420–422

oblique entry of the

 

 

rior ischemic optic

 

dermoid cyst 420

optic nerve 363–364

 

 

neuropathy (AION)

 

epidermoid cyst 420

optic neuritis 370–374

 

 

optic radiations 389

 

glioma 422

papilledema 368–370,

 

 

lesions 400

 

hemangioma 420

371, 372

 

 

 

optic tract 359, 389

 

histiocytosis X 421

pseudopapilledema

 

 

lesions 400, 542

 

leukemic infiltrations

364–365, 372

 

 

optokinetic nystagmus 494

 

421

 

tilted disk 364

 

 

oral contraceptives 561

 

lymphoma 421

in hyperopia 438

 

 

orbicularis oculi muscle 17,

 

meningioma 420–421

ophthalmoscopy 244–

 

51

 

metastases 421

246, 252

 

 

 

orbital

 

neurinoma 420

in children 275

 

 

apex syndrome 415

 

neurofibroma 420

shunt vessels 407

 

 

cavity see orbital cavity

 

rhabdomyosarcoma 421

tomography 246

 

 

cellulitis 404, 414–415,

 

vascular disorders 418–

see also optic nerve

 

416, 532, 535

 

419

 

optic nerve 359–387, 389,

 

 

differential diagnosis

 

hematoma 419

396

 

 

58, 64, 415

 

intermittent exophthal-

atrophy 380–383, 399,

 

 

treatment 415

 

mos 419

 

407

 

 

 

hematoma 419

 

pulsating exophthalmos

primary 380–381, 382

 

 

hypoplasia 410

 

418–419

secondary 381–382

 

 

periostitis 417

 

organic foreign bodies 515

avulsion 512

 

 

pseudotumor 416

 

orthoptic exercises 480

 

 

 

 

 

 

 

 

P

580

Index

 

 

 

 

 

osmotic agents, glaucoma

 

 

hypotension papilledema

 

Perlia's nucleus 220

 

 

treatment 255, 261,

 

369

 

perphenazine 556

267

 

 

 

 

in craniostenosis 409

 

persistent

osteopathies 411

 

 

 

 

papillitis 370, 372–374, 375

 

fetal vasculature 284–287

Ota's nevus 112

 

 

 

 

papillomas

 

hyaloid artery 285, 366

oxycephaly 409

 

 

 

 

conjunctival 106–107

 

hyperplastic primary vit-

 

 

 

 

 

lacrimal sac 61

 

reous (PHPV) 285–

P

 

 

 

 

paralytic

 

287, 548

 

 

 

 

ectropion 28, 29

 

phacodonesis 169, 196

 

 

 

 

 

keratitis 141

 

phacoemulsification 190,

pachymetry, corneal 125

 

 

ptosis 23

 

191

Paget's disease 411

 

 

strabismus 459, 481–494

 

phacogenic inflammation

palpation, intraocular pres-

 

 

parasitic

 

208

sure measurement

 

 

conjunctivitis 90–91, 98

 

phacolytic glaucoma 178,

15, 240

 

 

 

 

retinal disorders 352–353

 

179, 271

palpebral

 

 

 

 

see also specific parasites

 

phacomatosis 44

conjunctiva 17, 20

 

 

parastriate area 389

 

phenprocoumon 561

fissure

 

 

 

 

parasympatholytic agents

 

phenylephrine 553

shortening of 21, 22

 

 

426–427

 

effects on pupil 226

width of 19, 507

 

 

parasympathomimetic

 

phenytoin 557

palsy 490, 531

 

 

 

 

agents 427

 

phlyctenular keratocon-

abducent nerve 486, 490–

 

 

effects on pupil 224–225

 

junctivitis 98, 102

491

 

 

 

 

glaucoma treatment 255,

 

Phoropter 5, 450

retraction syndrome

 

 

256–257

 

photochromic lenses 450

490–491

 

 

 

 

paresis 481, 486

 

photophobia 74

accommodation impair-

 

 

Parinaud's syndrome 80,

 

in albinism 206

ments 446–447

 

104, 231, 484, 486

 

photopsia 330

combined palsies 491–

 

 

pars plana 201

 

photorefractive keratectomy

492

 

 

 

 

examination 202

 

151, 155

facial nerve 140

 

 

 

 

vitrectomy (PPV) 294, 295

 

astigmatism correction

oculomotor nerve 23, 228,

 

 

pars plicata 201

 

156

491, 541

 

 

 

 

pathologic myopia 434

 

photosensitivity 30

complete 228, 491

 

 

pattern deviations 469, 471

 

phototherapeutic kera-

trigeminal nerve, oph-

 

 

pattern ERG 312

 

tectomy 151, 154

thalmic division 141

 

 

penetrating keratoplasty

 

phthisis 540

trochlear nerve 486, 487–

 

 

117–118, 143, 149,

 

physiologic diplopia 464

488, 489, 491

 

 

 

151, 152–153

 

physostigmine, effects on

see also gaze palsy

 

 

allograft rejection 152–

 

pupil 224

panel D 15 test 362

 

153, 154

 

pigmentary glaucoma 271

pannus formation, in con-

 

 

penicillin 553, 558

 

pilocarpine 553

junctivitis 76, 79

 

 

perforated corneal ulcer 128

 

effects on pupil 224

panorama vision 471

 

 

pericorneal injection 75

 

glaucoma treatment 256,

Panum's area 465

 

 

 

 

perimetry see visual field

 

268

panuveitis 208

 

 

 

 

testing

 

pincushion distortion 457

papillae

 

 

 

 

periostitis, orbital 417

 

pinguecula 69, 70, 528

Bergmeister's 366

 

 

differential diagnosis 65

 

pituitary gland 396

contact lens incompati-

 

 

peripheral

 

adenomas 396, 397

bility and 142

 

 

furrow keratitis 147–148

 

Placido's disk 121, 442

in conjunctivitis 76, 78, 80

 

 

Horner's syndrome 230

 

plastic lenses 450

papilledema 368–370, 371,

 

 

iridectomy 268

 

plica semilunaris 67

372

 

 

 

 

retinal degenerations

 

plus lenses 5, 439, 440

Foster Kennedy syndrome

 

 

334–335

 

see also contact lenses;

368

 

 

 

 

peristriate area 389

 

eyeglass lenses

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

Index

581

pneumatic non-contact

 

 

prostigmin, effects on pupil

 

see also anisocoria; iso-

 

 

tonometry 240–241

 

224

 

coria

 

pneumococcal conjunctivi-

 

 

pseudocysts 108

 

pharmacologic agent

tis 84

 

 

pseudoenophthalmos 405

 

effects 224–226, 231

Pneumocystis carinii infec-

 

 

pseudoexfoliation

 

size 220

 

tion 350

 

 

glaucoma and 271

 

pupillary block 212–213,

polar cataracts 183

 

 

lens displacement and

 

234, 265, 266, 269

polymethyl methacrylate

 

195, 196

 

see also glaucoma

(PMMA) 452

 

 

pseudoexophthalmos 405

 

Purtscher's retinopathy 525

post-diphtheria accommo-

 

 

pseudoisochromatic plates

 

pyramidal cataract 183

dation palsy 446

 

311

 

 

 

posterior subcapsular cata-

 

 

pseudomembranes, in con-

 

Q

 

ract 174, 176–177

 

 

junctivitis 76, 78

 

 

postoperative aphakia 187,

 

 

Pseudomonas

 

 

 

438

 

 

 

conjunctivitis 86

 

quinine 558, 562

powder burns 524

 

 

keratitis 130

 

 

 

preferential looking test

 

 

pseudopapilledema 364–

 

R

 

472–473

 

365, 372

 

 

presbyopia 428

 

 

pseudophakia 187

 

 

 

bifocal contact lenses and

 

 

lipomatous 285

 

radial keratotomy 151, 155–

454

 

 

 

pseudopterygium 71

 

156

 

progressive addition

 

 

pseudoptosis 74, 540

 

radiation injuries 524–525

lenses and 449

 

 

pseudoretinitis pigmentosa

 

infrared radiation cataract

preseptal cellulitis 415

 

 

344–345

 

182

 

primary

 

 

pseudostrabismus 481

 

ultraviolet keratocon-

angle closure glaucoma

 

 

pseudotumor, orbital 416

 

junctivitis 523

265–270

 

 

pterygium 69–71, 529, 533

 

radiography

 

angle of deviation 490

 

 

ptosis 22–24, 540–541

 

lacrimal system 53, 57

choroidal process 214

 

 

acquired 22–24

 

orbital cavity 409

oblique muscle dysfunc-

 

 

congenital 22–24, 540

 

Recklinghausen's disease

tion 471

 

 

myogenic 23–24

 

44–45, 386, 420, 421,

surgical correction 479

 

 

paralytic 23

 

422

 

open angle glaucoma 251–

 

 

sympathetic 23, 24

 

reclination 189

 

264, 546

 

 

 

pulsating exophthalmos

 

rectus muscles 459–460,

optic nerve atrophy 380–

 

 

418–419

 

462

 

381, 382

 

 

 

pump-leak system 167

 

direction of pull 461

visual area 389

 

 

puncta lacrimales 51, 530

 

nerve supply 461

vitreous 279

 

 

punctal plugs 63

 

red eye 542–543

prism loupes 456

 

 

pupil 219–232

 

reflex

 

prisms 455

 

 

distance between pupils

 

eye closing 14, 119

prism bars 475

 

451

 

foveal 308

 

prism diopters 476

 

 

examination methods

 

light 219–220

strabismus correction 474,

 

 

221–224

 

testing of 221–223

480, 493

 

 

 

swinging flashlight test

 

near 220

 

progressive addition lenses

 

223

 

evaluation of 223–224

449

 

 

 

testing the light reflex

 

wall 308, 310

 

proliferative

 

 

221–223

 

refraction 423, 426

diabetic retinopathy see

 

 

testing the near reflex

 

anomalies 432–445

diabetic retinopathy

 

 

223–224

 

see also anisometropia;

vitreoretinopathy (PVR)

 

 

light reflex 219–220

 

astigmatism; hyper-

293

 

 

 

motor dysfunction 226–

 

opia; myopia

proptosis, with scleritis 162

 

 

232, 541–542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R

582

Index

 

 

 

 

refraction

 

 

 

fundus examination

 

retinal

 

 

 

correction of errors see

 

304–308

 

arteries 302

contact lenses; eye-

 

swinging flashlight test

 

central 302, 361

glass lenses; prisms

223

 

occlusion 320–323,

testing 429–431

 

in hyperopia 438

 

545

subjective refraction

 

inflammatory disease

 

detachment see retinal

testing for eyeglasses

 

346–353

 

detachment

450–451

 

 

 

AIDS-related disorders

 

dysplasia 285

refractive

 

 

 

349–350

 

nerve fiber layer exami-

hyperopia 438

 

 

 

parasitic disorders 352–

 

nation 250–251

myopia 434

 

 

353

 

periphlebitis 215

power 425, 426

 

 

 

posterior uveitis due to

 

tears 537

of eyeglass lenses 447

 

toxoplasmosis 348–

 

vitreous detachment

refractometry 431

349

 

and 282–283

regular astigmatism 441,

 

retinal vasculitis 346–

 

vascular proliferation

442

 

 

348

 

293–294

relative afferent pupillary

 

retinitis in Lyme disease

 

vasculitis 346–348

defect 223, 227

 

351–352

 

veins 302

resolution 423, 424

 

viral retinitis 351

 

central 302, 361

see also visual acuity

 

injury to 515

 

occlusion 215, 272, 318–

retina 299–357

 

 

 

layers of 299–300, 301

 

320, 545

corresponding points on

 

pars caeca retinae 299

 

retinal detachment 328–

464

 

 

 

pars optica retinae 299

 

333, 537, 545, 548,

degenerative disorders

 

resolving power see visual

 

549

328–340

 

 

 

acuity

 

choroidal melanoma and

age-related macular

 

sensitivity

 

217

degeneration 337–

 

to glare 303–304

 

exudative 328, 329, 330

338

 

 

 

to light intensity 303,

 

in Coats' disease 325–326

central serous chori-

428

 

myopia and 435

oretinopathy 335–

 

thickness of 300

 

optic nerve pits and 384

336, 549

 

 

 

tumors 353–357

 

persistent hyperplastic

degenerative myopia

 

astrocytoma 355–356

 

primary vitreous and

339–340

 

 

 

hemangiomas 356–357

 

285

degenerative retinos-

 

retinoblastoma 286,

 

rhegmatogenous 293,

chisis 333–334

 

353–355

 

328–329, 330, 331–

peripheral retinal

 

vascular disorders 314–

 

332, 334

degenerations 334–

327

 

tractional 328, 329, 330

335

 

 

 

arteriosclerotic changes

 

treatment 295–298

see also retinal detach-

 

323–325

 

tumor-related 328, 329,

ment

 

 

 

Coats' disease 325–

 

330

dystrophies 340–345

326, 548

 

vitreous detachment and

retinitis pigmentosa

 

diabetic retinopathy

 

282, 293, 328–329

343–345

 

 

 

314–318

 

retinitis 537

see also macular dystro-

 

hypertensive reti-

 

in Lyme disease 351–352

phies

 

 

 

nopathy 323–325

 

pigmentosa 312, 343–345

embryology 299

 

retinal artery occlusion

 

viral 351

examination methods

 

320–322

 

cytomegalovirus 350

304–313

 

 

 

retinal vein occlusion

 

retinoblastoma 286, 353–

color vision evaluation

 

318–320

 

355, 548

311–312

 

 

 

vascular supply 302

 

retinochoroiditis 214, 292

electrophysiologic

 

see also fundus; reti-

 

retinohypothalamic tract

examination methods

 

nopathy

 

389–391

312–314