Color Atlas of Ophthalmology,

544 Pages·2016·10.2 MB·English

by  Amar Agarwal

Co lo r Atlas o f Ophthalm o lo g y
The Quick-Refe re nce Manual
for Diagnosis and Treat m e nt
Second Edit ion
Co lo r Atlas o f Ophthalm o lo g y
The Quick-Refe re nce Manual
for Diagnosis and Treat m e nt
Second Edit ion
Amar Agarwal, MS, FRCS, FRCOphth
Professor of Ophthalmology
Ramachandra Medical College
Private Practice
Chennai, India
Soosan Jacob, MS, FRCS, DNB, MNAMS
Private Practice
Chennai, India
Thiem e
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Library of Congress Cataloging-in-Publication Data
Color atlas of ophthalmology : the quick-reference manual for diagnosis and treatment / [edited
by] Amar Agarwal, Soosan Jacob.—2nd ed.
p. ; cm.
Includes index.
Prev. ed. has subtitle: Manhattan 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. Ophthalmology—Atlases. 4. Ophthalmology—Handbooks, manuals, etc.
I. Agarwal, Amar. 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 Thieme Medical Publishers, Inc. This book, including all parts thereof, is le-
gally protected by copyright. Any use, exploitation, or commercialization outside the narrow lim-
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This applies in particular to photostat reproduction, copying, mimeographing or duplication of
any kind, translating, preparation of microfilms, and electronic data processing and storage.
Important note: Medical knowledge is ever-changing. As new research and clinical experience
broaden our knowledge, changes in treatment and drug therapy may be required. The authors
and editors of the material herein have consulted sources believed to be reliable in their efforts
to provide information that is complete and in accord with the standards accepted at the time
of publication. However, in view of the possibility of human error by the authors, editors, or
publisher of the work herein or changes in medical knowledge, neither the authors, editors, nor
publisher, nor any other party who has been involved in the preparation of this work, warrants
that the information 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 information.
Readers are encouraged to confirm the information contained herein with other sources. For
example, readers are advised to check the product information sheet included in the package of
each drug they plan to administer to be certain that the information contained in this publication
is accurate and that changes have not been made in the recommended dose or in the contraindi-
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Some of the product names, patents, and registered designs referred to in this book are in
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Printed in India
5 4 3 2 1
ISBN 978-1-60406-211-3
Nothing in this world moves without Him,
and so also this book was only written by Him .
This book is dedicated to
a great friend,
Brian S. Boxer Wachler, MD

Co nte nts
Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi
About the Editors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv
Chapter 1 Ocular Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Daniele Veritti, Carlo Sborgia, Francesco Boscia,
Giuseppe Smaldone, and Paolo Lanzetta
Chapter 2 Eyelids and Lacrimal System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Christopher I. Zoumalan, Andrea Olmos, and
Kimberly P. Cockerham
Chapter 3 Orbital Infections, In ammation, and Neoplasms . . . . . . . . . . . . . . . . 69
Praveen Saluja, Swati Ravani, Soosan Jacob, and Amar Agarwal
Chapter 4 External Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100
Guillermo Simón-Castellví, Pablo Gili-Manzanaro,
Sarabel Simón-Castellví, José María Simón-Castellví,
Cristina Simón-Castellví, and José María Simón-Tor
Chapter 5 Cornea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141
W. Barry Lee and Ivan R. Schwab
Chapter 6 Intraocular In ammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194
Soosan Jacob, Dhivya Ashok Kumar, Athiya Agarwal, and
Amar Agarwal
Chapter 7 Lens and Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218
Athiya Agarwal, Soosan Jacob, and Amar Agarwal
Chapter 8 Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244
Soosan Jacob and Amar Agarwal
Chapter 9 Medical Retina. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260
Mandeep Lamba, Soosan Jacob, and Amar Agarwal
Chapter 10 Surgical Retina. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .288
Clement K. Chan and Dariusz G. Tarasewicz
Chapter 11 Ocular Neoplasms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .322
Soosan Jacob, Santosh Hanovar, and Amar Agarwal
Chapter 12 Strabismus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .339
Federico G. Velez, Noa Ela-Dalman, and Arthur L. Rosenbaum
Chapter 13 Neuro-Ophthalmology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .359
Soosan Jacob and Amar Agarwal
vii
viii Contents
Chapter 14 Ophthalmic Pharmacology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .405
James M. Hill, Lori Vidal Denham, Blake A. Booth,
Duncan A. Friedman, Je ery A. Hobden, Andrea T. Murina,
Marie D. Acierno, Jean T. Jacob, Herbert E. Kaufman, and
Donald R. Bergsma
Chapter 15 Ocular Manifestations of Systemic Disease . . . . . . . . . . . . . . . . . . . . .430
Soosan Jacob and Amar Agarwal
Chapter 16 Contact Lenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .447
Kenneth M. Daniels
Chapter 17 Ophthalmic Instruments and Diagnostic Tests. . . . . . . . . . . . . . . . . .486
Samuel Boyd and Amar Agarwal
Chapter 18 Ophthalmic O ce Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .507
Samuel Boyd
Chapter 19 Refractive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .518
David R. Hardten, Natalia Kramarevsky, Louis E. Probst, and
Richard L. Lindstrom
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .539
Fo re w o rd
For some authors of ophthalmology, writing or editing 50 book chapters is a size-
able accomplishment over a lifetime, let alone a decade. This is not true for Professor
Agarwal. Since 1998, Amar Agarwal has
edited on average more than four books
a year, which is an unprecedented and
virtually unimaginable yearly number
for any one person. His books span top-
ics from diagnostics and imaging (such
as aberrometry, angiography, topogra-
phy, dry eyes, and neuro-ophthalmology)
to therapeutics and surgery (including
contact lenses, lasers, LASIK, strabismus,
oculoplastics, cataracts, phako, and more),
and many have been bestsellers. He has
authored several comprehensive hand-
books and textbooks of ophthalmology,
and Color Atlas of Ophthalmology stands
out as one of his best. In its 19 subspe-
cialty chapters, this second edition illus-
trates over 500 diagnostics and therapeu-
tic conditions. The comprehensive and
systematic format helps the reader find
and view the facts about any condition in
ophthalmology instantly, making it an essential resource for both the student and
the practitioner in the field.
Anyone who knows Professor Agarwal can tell you that he is a consummate
innovator and teacher. As a professor of ophthalmology and internationally re-
nowned lecturer, his experience and dedication to teaching speak for themselves.
Over the years, I have participated in several American Academy of Ophthalmolo-
gy and American Society of Cataract and Refractive Surgery courses with Professor
Agarwal and have learned a great deal about microincision cataract surgery and
the management of challenging LASIK cases from them. Personally, I look forward
to reviewing and referring to the content of this book on a regular basis. I recom-
mend that you do so as well!
Ronald R. Krueger, MD, MSE
Medical Director,
Department of Refractive Surgery
Cole Eye Institute
Cleveland Clinic
Cleveland, Ohio
ix