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Color Atlas of Ophthalmology

The Quick-Reference Manual for Diagnosis and Treatm ent

Second Edit ion

Color Atlas of Ophthalmology

The Quick-Reference Manual for Diagnosis and Treatm ent

Second Edit ion

Amar Agarw al, MS, FRCS, FRCOphth

Professor of Ophthalmology

Ram achandra Medical College

Private Practice

Chennai, India

Soosan Jacob, MS, FRCS, DNB, MNAMS

Private Practice

Chennai, India

Th iem e

New York • St ut tgar t

Thiem e Medical Publishers, Inc.

333 Seventh Ave.

New York, NY 10001

Editorial Director: Michael Wachinger

Managing Editor: J. Owen Zurhellen IV Editorial Assistant: Dom inik Pucek

Vice President, Production and Electronic Publishing: Anne T. Vinnicombe Production Editor: Kenneth L. Chumbley, Publication Services

Vice President, International Marketing and Sales: Cornelia Schulze Chief Financial Officer: Peter van Woerden

President: Brian D. Scanlan

Cover illustration drawn by Karl Wesker Compositor: MPS Content Services Printer: Gopsons Papers Ltd.

Library of Congress Cataloging -in-Publication Data

Color atlas of ophthalm ology : the quick-reference m anual for diagnosis and treatm ent / [edited by] Am ar Agarwal, Soosan Jacob.—2nd ed.

p. ; cm . Includes index.

Prev. ed. has subtitle: Manhat tan Eye, Ear & Throat Hospital pocket guide. ISBN 978-1-60406-211-3 (alk. paper)

1.Eye—Diseases—Atlases. 2. Eye—Diseases—Handbooks, manuals, etc.

3.Ophthalm ology—Atlases. 4. Ophthalm ology—Handbooks, m anuals, etc. I. Agarwal, Am ar. II. Jacob, Soosan.

[DNLM: 1. Eye Diseases—diagnosis—Atlases. 2. Eye Diseases—diagnosis—Handbooks.

3.Eye Diseases—pathology—Atlases. 4. Eye Diseases—pathology—Handbooks. 5. Eye— pathology—Atlases. 6. Eye—pathology—Handbooks. 7. Opthalmologic Surgical Procedures— Atlases. 8. Ophthalmologic Surgical Procedures—Handbooks. WW 17 C7195 2009]

RE71.C65 2009 617.70022'3—dc22

2009020093

Copyright © 2010 by Thiem e Medical Publishers, Inc. This book, including all part s thereof, is le - gally protected by copyright. Any use, exploitation, or com m ercialization out side the narrow lim - its set by copyright legislation without the publisher’s consent is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, m im eographing or duplication of any kind, translating, preparation of m icrofilm s, and electronic data processing and storage.

Important note : Medical knowledge is ever-changing. As new research and clinical experience broaden our knowledge, changes in treatm ent and drug therapy m ay be required. The authors and editors of the m aterial herein have consulted sources believed to be reliable in their effort s to provide information that is complete and in accord with the standards accepted at the time of publication. However, in view of the possibilit y of human error by the authors, editors, or publisher of the work herein or changes in m edical knowledge, neither the authors, editors, nor publisher, nor any other part y who has been involved in the preparation of this work, warrants that the inform ation contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such inform ation. Readers are encouraged to confirm the information contained herein with other sources. For example, readers are advised to check the product inform ation sheet included in the package of each drug they plan to adm inister to be certain that the inform ation contained in this publication is accurate and that changes have not been m ade in the recom m ended dose or in the contraindications for adm inistration. This recom m endation is of particular importance in connection with new or infrequently used drugs.

Som e of the product names, patents, and registered designs referred to in this book are in fact registered tradem arks or proprietary nam es even though specific reference to this fact is not always m ade in the text. Therefore, the appearance of a nam e without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

Printed in India

5 4 3 2 1

ISBN 978-1-60406-211-3

Noth ing in th is w orld m oves w ith out Him , an d so also th is book w as on ly w rit ten by Him .

Th is book is dedicated to

a great frien d,

Brian S. Boxer Wach ler, MD

Contents

Fo rew o rd . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi

About the Editors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii

Contributo rs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv

Chapter 1 Ocu lar Traum a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Daniele Veritt i, Carlo Sborgia, Francesco Boscia, Giuseppe Sm aldone, and Paolo Lanzetta

Chapter 2 Eyelids an d Lacrim al System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Christopher I. Zoum alan, Andrea Olm os, and Kim berly P. Cockerham

Chapter 3 Orbit al In fect ion s, Inam m at ion , an d Neoplasm s . . . . . . . . . . . . . . . . 69

Praveen Saluja, Sw at i Ravani, Soosan Jacob, and Am ar Agarw al

Chapter 4 Extern al Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Guillerm o Sim ón-Castellví, Pablo Gili-Manzanaro, Sarabel Sim ón-Castellví, José María Sim ónCastellví, Crist ina Sim ónCastellví, and José María Sim ón-Tor

Chapter 5 Corn ea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

W . Barry Lee and Ivan R. Schw ab

Chapter 6 In t raocu lar Inam m at ion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194

Soosan Jacob, Dhivya Ashok Kum ar, Athiya Agarw al, and Am ar Agarw al

Chapter 7 Len s an d Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218

Athiya Agarw al, Soosan Jacob, and Am ar Agarw al

Chapter 8 Glaucom a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244

Soosan Jacob and Am ar Agarw al

Chapter 9 Medical Ret in a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260

Mandeep Lam ba, Soosan Jacob, and Am ar Agarw al

Chapter 10 Su rgical Ret in a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288

Clem ent K. Chan and Dariusz G. Tarasew icz

Chapter 11 Ocular Neoplasm s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322

Soosan Jacob, Santosh Hanovar, and Am ar Agarw al

Chapter 12 St rabism u s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339

Federico G. Velez, Noa Ela-Dalm an, and Arthur L. Rosenbaum

Chapter 13 NeuroOp h th alm ology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359

Soosan Jacob and Am ar Agarw al

vii

viii Content s

 

Chapter 14 Oph th alm ic Ph arm acology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

405

Jam es M. Hill, Lori Vidal Denham , Blake A. Booth,

 

Duncan A. Friedm an, Je ery A. Hobden, Andrea T. Murina,

 

Marie D. Acierno, Jean T. Jacob, Herbert E. Kaufm an, and

 

Donald R. Bergsm a

 

Chapter 15 Ocu lar Man ifest at ion s of System ic Disease . . . . . . . . . . . . . . . . . . . . . 430

Soosan Jacob and Am ar Agarw al

Chapter 16 Con tact Len ses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 447

Kenneth M. Daniels

Chapter 17 Oph th alm ic In st r um en t s an d Diagn ost ic Tests . . . . . . . . . . . . . . . . . . 486

Sam uel Boyd and Am ar Agarw al

Chapter 18 Oph th alm ic Oce Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 507

Sam uel Boyd

Chapter 19 Refract ive Su rger y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

518

David R. Hardten, Natalia Kram arevsk y, Louis E. Probst, and

 

Richard L. Lindst rom

 

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

539

Forew ord

For som e au th ors of oph th alm ology, w rit ing or edit ing 50 book ch apters is a sizeable accom plish m en t over a lifet im e, let alon e a decade. Th is is n ot t ru e for Professor Agar w al. Sin ce 1998, Am ar Agar w al h as

edited on average m ore th an fou r books a year, w h ich is an u npreceden ted an d virt u ally u n im agin able yearly n u m ber for any on e person . His books sp an top - ics from diagn ost ics an d im aging (su ch as aberrom et r y, angiography, topography, dr y eyes, and neuro-ophthalm ology) to therapeutics and surger y (including contact len ses, lasers, LASIK, strabism us, oculoplastics, cataracts, phako, an d m ore), an d m any h ave been bestsellers. He h as au th ored several com prehensive handbooks and textbooks of oph th alm ology, an d Color Atlas of Ophthalm ology stan ds out as on e of h is best . In it s 19 su bspecialt y ch apters, th is secon d edit ion illus- t rates over 500 diagn ost ics an d th erapeu - t ic con dit ion s. Th e com preh en sive an d system at ic form at h elp s th e reader fin d an d view th e facts abou t any con dit ion in

oph th alm ology in st an tly, m aking it an essen t ial resou rce for both th e st u den t an d th e pract it ion er in th e field .

Anyon e w h o kn ow s Professor Agar w al can tell you th at h e is a con sum m ate in n ovator an d teach er. As a professor of oph th alm ology an d in tern at ion ally re- n ow n ed lect urer, h is exp erien ce an d dedicat ion to teach ing speak for th em selves. Over th e years, I h ave p ar t icip ated in several Am erican Academ y of Oph th alm ology an d Am erican Societ y of Cataract an d Refract ive Su rger y cou rses w ith Professor Agar w al an d h ave learn ed a great deal about m icroin cision cataract su rger y an d th e m an agem en t of ch allenging LASIK cases from th em . Person ally, I look for w ard to review ing an d referring to th e con ten t of th is book on a regu lar basis. I recom - m en d th at you do so as w ell!

Ronald R. Krueger, MD, MSE

Medical Director,

Depar t m en t of Refract ive Su rger y

Cole Eye In st it ute

Clevelan d Clin ic

Clevelan d, Oh io

ix