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OPHTHALMOLOGY SECRETS IN COLOR

FOURTH EDITION

JANICE A. GAULT, MD, FACS

Associate Surgeon, Cataract and Primary Eye Care

Wills Eye Hospital,

Assistant Professor of Ophthalmology

Thomas Jefferson University

Philadelphia, Pennsylvania;

Eye Physicians PC

Voorhees, New Jersey

JAMES F. VANDER, MD

Attending Surgeon

Retina Service

Wills Eye Hospital;

Clinical Professor of Ophthalmology

Thomas Jefferson University

Philadelphia, Pennsylvania

1600 John F. Kennedy Blvd.

Ste 1800

Philadelphia, PA 19103-2899

OPHTHALMOLOGY SECRETS IN COLOR, FOURTH EDITION

ISBN: 978-0-323-32308-6

Copyright © 2016 by Elsevier, Inc. All rights reserved.

 

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 2007 and 2002.

Library of Congress Cataloging-in-Publication Data

Ophthalmology secrets in color / [edited by] Janice A. Gault, James F. Vander. -- Fourth edition.

p. ; cm. -- (Secrets series)

Includes bibliographical references and index. ISBN 978-0-323-32308-6 (pbk. : alk. paper)

I. Gault, Janice A., editor. II. Vander, James F., 1960-, editor. III.

Series: Secrets series.

 

 

 

 

[DNLM: 1. Eye Diseases--Examination Questions. WW 18.2]

 

 

 

 

RE48

 

 

 

 

617.7--dc23

2015009841

Content Strategist: James Merritt

 

 

 

 

Content Development Specialist: Maureen Iannuzzi

 

 

 

 

Publishing Services Manager: Catherine Jackson

 

 

 

 

Senior Project Manager: Rachel E. McMullen

 

 

 

 

Design Direction: Ryan Cook

 

 

 

 

Printed in the United States of America

 

 

 

 

 

 

 

 

 

 

 

 

Last digit is the print number: 9  8  7  6  5  4  3  2 

1

 

 

 

 

 

 

 

 

 

To Caroline Anna, William Henry, and Eliza Avery

CONTRIBUTORS

Usiwoma Abugo, MD

Howard University Hospital

Washington, DC

Brandon D. Ayres, MD

Attending Physician

Cornea

Wills Eye Hospital

Philadelphia, Pennsylvania

Amir A. Azari, MD

Assistant Surgeon

Ophthalmology

Wills Eye Hospital

Philadelphia, Pennsylvania

Augusto Azuara-Blanco, PhD, FRCS(Ed), FRCOphth

Professor of Ophthalmology

Ophthalmology

Queen’s University Belfast

Belfast, Great Britain

Robert S. Bailey, Jr., MD

Director and Attending Surgeon

CPEC

Wills Eye Hospital

Philadelphia, Pennsylvania

Vincent F. Baldassano, Jr., MD

Geisinger Health System

Danville, Pennsylvania

Caroline R. Baumal, MD, FRCSC

Associate Professor, Vitreoretina Surgery

New England Eye Center

Tufts University School of Medicine

Boston, Massachusetts

Edward H. Bedrossian, Jr., MD FACS

Attending Surgeon

Ophthalmic Plastic and Reconstructive Surgery

Department

Wills Eye Hospital,

Director, Ophthalmic Plastic and Reconstructive

Surgery

Department of Ophthalmology

Temple University School of Medicine,

Professor Ophthalmology

Temple University School of Medicine

Philadelphia, Pennsylvania;

Chief, Department of Ophthalmology

Delaware County Memorial Hospital

Drexel Hill, Pennsylvania

Jurij R. Bilyk, MD

Attending Surgeon

Skull Base Division, Neuro-Ophthalmology Service

Wills Eye Hospital,

Professor of Ophthalmology

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania

Jeffrey P. Blice, MD

Clinical Associate Professor

Ophthalmology

Storm Eye Institute Medical Univeristy of South

Carolina

Charleston, South Carolina

Michael J. Borne, MD, FACS

Partner, Mississippi Retina Associates

Jackson, Mississippi

Steven E. Brooks, MD

Professor

Ophthalmology

Columbia University

New York, New York

David G. Buerger, MD

Clinical Instructor of Ophthalmology

Ophthalmology

University of Pittsburgh

Pittsburgh, Pennsylvania

Elizabeth J. Cohen, MD

Corneal Associates PC

Wills Eye Institute

Philadelphia, Pennsylvania

Marc S. Cohen, MD

Wills Eye Hospital

Philadelphia, Pennsylvania

Mary J. Cox, MD

Instructor

Glaucoma

Wills Eye Hospital,

Philadelphia, Pennsylvania;

Ophthalmologist

Eye Physicians

Voorhess, New Jersey

Kristin DiDomenico, MD

Comprehensive Ophthalmology

Wills Eye Hospital

Philadelphia, Pennsylvania

iv

Rebecca Droms, BA

University of Massachusetts School of Medicine

Worcester, Massachusetts

John D. Dugan, Jr., MD

Wills Eye Hospital

Philadelphia, Pennsylvania

Jay S. Duker, MD

Director, New England Eye Center

Professor and Chairman, Department of

Ophthalmology

Tufts Medical Center

Tufts University School of Medicine

Boston, Massachusetts

Ralph C. Eagle, Jr., MD

Director

Department of Pathology

Wills Eye Hospital

Philadelphia, Pennsylvania

Mitchell S. Fineman, MD

Attending Surgeon

Retina Service

Wills Eye Hospital

Philadelphia, Pennsylvania

Janice A. Gault, MD

Associate Surgeon, Cataract and Primary Eye Care

Wills Eye Hospital

Assistant Professor of Ophthalmology

Thomas Jefferson University

Philadelphia, Pennsylvania,

Eye Physicians PC

Voorhees, New Jersey

Roberta E. Gausas, MD

Assocaite Professor

Ophthalmology

University of Pennsylvania Perelman School

of Medicine

Philadelphia, Pennsylvania

Kenneth B. Gum, MD

Traverse City Eye

Traverse City, Michigan

Shipra Gupta, MD

PGY3 Resident

Ophthalmology

University Hospitals-Case Medical Center

Cleveland, Ohio

Sadeer B. Hannush, MD

Attending Surgeon

Cornea Service

Wills Eye Hospital;

Department of Ophthalmology

Thomas Jefferson University

Philadelphia, Pennsylvania

CONTRIBUTORS  v

Paul Harasymowycz, MD, FRCSC

Assistant Professor University of Montreal;

Chief of Glaucoma Service

Medical Director Montreal Glaucoma Institute

Montreal, Québec, Canada

Jeffrey D. Henderer, MD

Professor of Ophthalmology

Dr. Edward Hagop Bedrossian Chair of Ophthalmology

Temple University School of Medicine

Philadelphia, Pennsylvania

Philip G. Hykin, FRCS

Medical Retina Service

Moorfields Eye Hospital

London, Great Britain

Terry Kim, MD

Professor of Ophthalmology

Duke University School of Medicine;

Chief, Cornea and Refractive Surgery Services

Duke University Eye Center

Durham, North Carolina

Grace L. Kim, MD

Ophthalmology

Temple University Hospital

Philadelphia, Pennsylvania

Chrysoula Koutsiouki, MD

Medical Retina Service

Moorfields Eye Hospital

London, Great Britain

Nicole A. Langelier

Schele Eye Institute

University of Pennsylvania Health System

Philadelphia, Pennsylvania

Sebastian P. Lesniak, MD

Wills Eye Hospital

Philadelphia, Pennsylvania

Joseph I. Maguire II, MD

Assistant Professor

Ophthalmology

Wills Eye Hospital, Thomas Jefferson University

Hospital

Philadelphia, Pennsylvania

Mark L. Moster, MD

Professor of Neurology and Ophthalmology

Neuro-Ophthalmology

Wills Eye Hospital

Philadelphia, Pennsylvania

Marlene R. Moster, MD

Glaucoma

Wills Eye Hospital;

Professor of Ophthalmology Ophthalmology

Thomas Jefferson Univ. School of Medicine

Philadelphia, Pennsylvania

viCONTRIBUTORS

Nisha Mukherjee

Duke University School of Medicine

Durham, North Carolina

Leonard B. Nelson, MD

Wills Eye Hospital

Philadelphia, Pennsylvania

Scott E. Olitsky, MD

Chief of Ophthalmology

Ophthalmology

Children’s Mercy Hospital,

Professor of Ophthalmology

Ophthalmology

University of Missouri—Kansas City School of

Medicine

Kansas City, Missouri;

Clinical Associate Professor of Ophthalmology

Ophthalmology

University of Kansas School of Medicine

Kansas City, Kansas

Robert B. Penne, MD

Director, Oculoplastic Surgery Service

Wills Eye Hospital;

Associate Clinical Professor

Sidney Kimmel Medical College at Thomas Jef-

ferson University

Philadelphia, Pennsylvania

Julian D. Perry, MD

Physician

Ophthalmology

Cole Eye Institute

Cleveland, Ohio

Irving Raber, MD, FRCS (C)

Attending Surgeon

Cornea Service

Wills Eye Hospital

Philadelphia, Pennsylvania

Ehsan Rahimy, MD

Ophthalmology, Retina Division

Wills Eye Hospital

Philadelphia, Pennsylvania

Christopher J. Rapuano, MD

Chief, Cornea Service & Co-Chief, Refractive

Surgery Department

Wills Eye Hospital;

Professor of Ophthalmology

Sidney Kimmel Medical College at Thomas

Jefferson University

Philadelphia, Pennsylvania

Sherman W. Reeves, MD, MPH

Minnesota Eye Consultants

Minneapolis, Minnesota

Carolyn S. Repke, MD

Cataract and Primary Eye Care Wills Eye Hospital Philadelphia, Pennsylvania

Douglas J. Rhee, MD

Professor and Chairman

Department of Ophthalmology & Visual Sciences University Hospitals Eye Institute

Case Western Reserve University School of Medicine Cleveland, Ohio

Lorena Riveroll-Hannush

Cataract and Cornea Associates Newton, Pennsylvania

Tal J. Rubinstein, MD

Ophthalmology

Cleveland Clinic Cole Eye Institute Cleveland, Ohio

Jonathan H. Salvin, MD

Division of Ophthalmology

Nemours/A.I. duPont Hospital for Children Wilmington, Delaware;

Clinical Assistant Professor

Departments of Ophthalmology & Pediatrics Thomas Jefferson University/Wills Eye Hospital Philadelphia, Pennsylvania

Peter J. Savino, MD

Neuro-ophthalmology Service Wills Eye Institute Philadelphia, Pennsylvania

Barry Schanzer, MD

Advanced Ophthalmology Center Edison, New Jersey

Bruce M. Schnall, MD

Associate Surgeon Pediatric Ophthalmology Wills Eye Hospital Philadelphia, Pennsylvania

Carol L. Shields, MD

Co-Director, Ocular Oncology Service Wills Eye Hospital;

Professor, Department of Ophthalmology Thomas Jefferson University Philadelphia, Pennsylvania

Jerry A. Shields, MD

Director, Oncology Service Wills Eye Hospital; Professor of Ophthalmology Thomas Jefferson University Philadelphia, Pennsylvania

Sobha Sivaprasad, FRCOphth

Medical Retina Service

Moorfields Eye Hospital

London, Great Britain

George L. Spaeth, MD

Wills Eye Institute

Jefferson Medical College of Thomas Jefferson University

Philadelphia, Pennsylvania

Nancy G. Swartz, MS, MD

Director of Facial Rejuvenation

Myrna Brind Center of Integrative Medicine Thomas Jefferson University Hospital; Associate Surgeon

Neuro-Ophthalmology Service Wills Eye Hospital;

Clinical Associate

Ophthalmology

University of Pennsylvania School of Medicine; Instructor

Ophthalmology

Thomas Jefferson University Medical College Philadelphia, Pennsylvania

Janine G. Tabas

Wills Eye Institute Philadelphia, Pennsylvania

William Tasman, MD

Professor and Emeritus Chairman, Department of Ophthalmology

Sidney Kimmel Medical College at Thomas Jefferson University;

Emeritus Opthalmologist-in-Chief and Attending Surgeon

Wills Eye Hospital

Mid Atlantic Retina Children’s Hospital of Philadelphia;

Affiliate

Nemours Children’s Clinic

Alfred I. duPont Hospital for Children at Thomas Jefferson Hospital;

Consultant Penn Medicine, Cognitive Philadelphia, Pennsylvania

Alexander B. Theventhiran, MD

Resident Ophthalmology

Temple University Hospital

Philadelphia, Pennsylvania

CONTRIBUTORS  vii

Michael D. Tibbits, MD

Director of Retina Services

Tyson Eye of Cape Coral Eye Center

Cape Coral and Fort Myers, Florida

Richard Tipperman, MD

Attending Surgeon

Cataract Surgery

Wills Eye Hospital Philadelphia, Pennsylvania

Sydney Tyson, MD, MPH

Attending Surgeon

Cataract and Primary Eyecare Service Wills Eye Hospital

Philadelphia, Pennsylvania

James F. Vander, MD

Attending Surgeon Retina Service Wills Eye Hospital; Clinical Professor Ophthalmology

Thomas Jefferson University

Philadelphia, Pennsylvania

Tamara R. Vrabec, MD

Ophthalmology Geisinger Medical Center Danville, Pennsylvania; Clinical Professor Ophthalmolgoy

Temple University Hospital

Philadelphia, Pennsylvania

Jing Wang, MD

Glaucoma fellow Ophthalmology University of Montreal

Montreal, Quebec, Canada

Richard P. Wilson, MD

Wills Eye Institute

Jefferson Medical College of Thomas Jefferson University

Philadelphia, Pennsylvania

Lauren B. Yeager, MD

Assistant Professor of Ophthalmology Department of Ophthalmology Columbia University Medical Center New York, New York