Ophthalmology: A Pocket Textbook Atlas PDF
Preview Ophthalmology: A Pocket Textbook Atlas
Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. I Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. III Ophthalmology A Pocket Textbook Atlas Gerhard K. Lang, MD ProfessorandChairman UniversityEyeHospital Ulm,Germany Withcontributionsby OskarGareis,GabrieleE.Lang,DorisRecker, PeterWagner Secondedition,revisedandenlarged 510illustrations 50tables Thieme Stuttgart· NewYork Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. IV LibraryofCongressCataloging-in-Publication Importantnote:Medicineisanever-changing Data science undergoing continual development. Researchandclinicalexperiencearecontinually Lang,GerhardK. expanding our knowledge, in particular our [Augenheilkunde.English] knowledgeofpropertreatmentanddrugther- Ophthalmology:apockettextbookatlas/ apy.Insofarasthisbookmentionsanydosageor GerhardK.Lang;withcontributionsby application,readersmayrestassuredthatthe O.Gareis...[etal.].–2nded.,rev.andenl. authors, editors, and publishers have made p.;cm. everyefforttoensurethatsuchreferencesarein accordancewiththestateofknowledgeatthe “Thisbookisanauthorizedrevisedand timeofproductionofthebook. enlargedtranslationoftheGermanedition Nevertheless,thisdoesnotinvolve,imply,or publishedandcopyrighted2004by expressanyguaranteeorresponsibilityonthe GeorgThiemeVerlag,Stuttgart,Germany” partofthepublishersinrespecttoanydosage –T.p.verso. instructionsandformsofapplicationsstatedin Includesindex. thebook.Everyuserisrequestedtoexamine 1.Ophthalmology–Handbooks,manuals,etc. carefully the manufacturers‘ leaflets accom- 2.Ophthalmology–Textbooks.3.Ophthal- panyingeachdrugandtocheck,ifnecessaryin mology–Atlases.I.Gareis,O.(Oskar)II.Title. consultation with a physician or specialist, whether the dosage schedules mentioned [DNLM:1.EyeDiseases.WW140L269a2007a] thereinorthecontraindicationsstatedbythe RE48.9.L36132007 manufacturersdifferfromthestatementsmade 617.7–dc22 inthepresentbook.Suchexaminationispartic- 2006029787 ularly important with drugs that are either 1stGermanedition1998 rarelyusedorhavebeennewlyreleasedonthe 1stEnglishedition2000 market.Everydosagescheduleoreveryformof 2ndGermanedition2000 applicationusedisentirelyattheuser’sown 1stTurkishedition2001 riskandresponsibility.Theauthorsandpublish- 1stFrenchedition2002 ersrequesteveryusertoreporttothepublish- 1stSpanishedition2002 ersanydiscrepanciesorinaccuraciesnoticed.If 2ndSpanishedition2006 errorsinthisworkarefoundafterpublication, erratawillbepostedatwww.thieme.comonthe Basedontheoriginaltranslationby productdescriptionpage. JohnGrossman,Berlin,Germany Illustrator:MarkusVoll,Munich,Germany (cid:1)2007GeorgThiemeVerlag Someoftheproductnames,patents,andregis- Rüdigerstraße14 tereddesignsreferredtointhisbookareinfact D-70469Stuttgart,Germany registered trademarks or proprietary names http://www.thieme.de eventhoughspecificreferencetothisfactisnot ThiemeNewYork,333SeventhAvenue, alwaysmadeinthetext.Therefore,theappear- NewYork,NY10001,USA ance of a name without designation as pro- http://www.thieme.com prietaryisnottobeconstruedasarepresenta- tion by the publisher that it is in the public Coverdesign:ThiemeMarketing domain. TypesettingbyDruckhausGötzGmbH, This book, including all parts thereof, is Ludwigsburg legallyprotectedbycopyright.Anyuse,exploi- PrintedinGermanybyApplAprintaDruck, tation,orcommercializationoutsidethenarrow Wemding limitssetbycopyrightlegislation,withoutthe publisher’sconsent,isillegalandliabletopros- 10-ISBN3-13-126162-5(GTV) ecution.Thisappliesinparticulartophotostat 13-ISBN978-3-13-126162-5(GTV) reproduction,copying,mimeographing,prepa- 10-ISBN1-58890-555-1(TNY) rationofmicrofilms,andelectronicdatapro- 13-ISBN978-1-58890-555-0(TNY) cessingandstorage. 1 2 3 4 5 6 Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. V TheConceptbehindtheBookinBrief Definition.Theconceptbehindthisbookwastoorganizethecontentandlay- outaccordingtoauniformstructure.Thisenhancestheclarityofthepresen- tationandallowsthereadertoaccessinformationquickly.Eachchapterhas its own header icon, which is shown on every page in the chapter. Figure headingssummarizethekeyinformationpresentedintherespectivefigure, eliminatingtheneedforthereadertoreadthroughtheentirelegend. Epidemiology.Intheabsenceofpreciseepidemiologicdata,theauthorsstate whetherthedisorderiscommonorrarewhereverpossible. Etiology.Thissectionusuallycombinesinformationabouttheetiologyand pathogenesisofadisorderandinsodoinghelpstoilluminateimportantrela- tionships. Symptomsanddiagnosticconsiderations.Theseitemsareusuallydiscussed separately. The section on symptoms includes only the phenomena with which the patient presents. How and using what methods the examiner proceedsfromthesesymptomstoadiagnosisisonlydiscussedunderdiag- nosticconsiderations. Sectionshighlightedwithabarattheleftcontainimportantfacts.Thesemay befactsthatoneisoftenrequiredtoknowforexaminations,ortheymaybe practicaltipsthatarehelpfulindiagnosingandtreatingthedisorder. Differential diagnosis. Wherever possible, this section discusses not only otherpossiblediagnoses,butalsoimportantcriteriafordifferentiatingthe disorderfromothers. Treatment.Thissectiongoesbeyondmerelydocumentingallpossiblethera- peuticoptions.Italsoexplainswhichtherapeuticmeasuresareadvisableand offeraprospectofsuccess.Thediscussionofmedicaltreatmentoccasionally includesdosageinformationandexamplesofpreparationsused.Thisisdone wheresuchinformationisrelevanttocasesstudentswillencounterinprac- tice.Thetradenamesspecifieddonotrepresentacomprehensivelisting. Prognosisandclinicalcourse.Thefurtherdevelopmentofthebookdependsin nosmallmeasureonyourcriticism.Wearehappytoreceiveanysuggestions forimprovementsasthiswillhelpustailorthenexteditiontobettersuityour needs.Pleaseusetheenclosedpostcard. Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. VI AbouttheAuthor Prof. Gerhard K. Lang (born 1951) studied medi- cine in Erlangen, Germany. After residency and researchworkinErlangenandattheJohnsHop- kinsHospitalinBaltimore,heservedasCo-Chair- manattheDepartmentofOphthalmologyatthe UniversityofErlangen-Nuremberg.Since1990he hasbeenChairmanoftheDepartmentofOphthal- mologyattheUniversityofUlm. The author’s special interests lie in European andinternationalophthalmology,andinparticu- larthefieldofmedicalteaching. Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. VII Preface Inthissecondedition,wehaveagaindesignedthebookinaccordancewith the principles of “understanding it in medical school,” “learning it for the examination,”and“usingitduringinternship.”Thebroadergoalwastogive studentsatextbookthatwouldkindletheirinterestandindeedtheirenthusi- asmforophthalmology.Inanageinwhichteachingisundergoingevaluation, wefeltthiswasparticularlyimportant.Inpursuingthisadmittedlyambitious goal,wewereabletodrawonmanyyearsofteachingexperience,whichhas shapedtheeducationalconceptbehindthisbook.Itcanbeseenindetails such as the layout, which is characterized by numerous photographs and illustrative drawings. We have placed particular emphasis on the figures. Theseillustrationsaremeanttomakeophthalmologycomealive,andhope- fullytheywillbeabletoletthereadershareintheenthusiasmtheauthors themselveshavefortheirspecialty. Iwouldliketotakethisopportunitytooffermyheartfeltthankstomy teacher, Prof. G.O.H. Naumann (Erlangen, Germany), and also to my co- authors,Dr.OskarGareis,Prof.GabrieleE.Lang,DorisRecker,andDr.Peter Wagner,forthewillingcollaborationandtheexceptionalinitiativetheyhave shown during the writing of this book. I would also like to extend special thankstoDr.JürgenLüthjeandSabineBartlofThiemeMedicalPublishers, whoseprofessionalismandactiveandtirelesssupportwereaconstantsource ofinspirationtousall.IwouldagainliketothankMarkusVoll(Fürstenfeld- bruck,Germany)forhissplendidillustrations. GerhardK.Lang Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license. VIII Contributors OskarGareis,MD Chairman DepartmentofOphthalmology MunicipalHospital Pforzheim,Germany GabrieleE.Lang,MD Director DepartmentofMedicalRetinaand LaserSurgery UniversityEyeHospital Ulm,Germany DorisRecker Orthoptist UniversityEyeHospital Ulm,Germany PeterWagner,MD ChiefofMedicalStaff UniversityEyeHospital Ulm,Germany Lang, Ophthalmology, 2nd. Ed. © 2006 All rights reserved. Usage subject to terms and conditions of license.
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