Color Atlas & Synopsis of Clinical Ophthalmology - Wills Eye Institute Cornea

384 Pages·2016·1.67 MB·English

by  Christopher J. Rapuano

CO LO R ATLAS & SYNO PSIS O F
CLINICAL OPHTHALMOLOGY
W i l l s Ey e I n s t i t u t e
C o r n e a
SECOND EDITION
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EDITOR
Christopher J. Rapuano, MD
Director and Attending Surgeon, Cornea Service
Co-Director, Refractive Surgery Department
Wills Eye Institute
Professor of Ophthalmology
Jefferson Medical College of Thomas Jefferson University
Philadelphia, Pennsylvania
SERIES EDITOR
Christopher J. Rapuano, MD
Director and Attending Surgeon, Cornea Service
Co-Director, Refractive Surgery Department
Wills Eye Institute
Professor of Ophthalmology
Jefferson Medical College of Thomas Jefferson University
Philadelphia, Pennsylvania
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CO LO R ATLAS & SYNO PSIS O F
CLINICAL OPHTHALMOLOGY
W i l l s Ey e I n s t i t u t e
C o r n e a
SECOND EDITION
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Senior Executive Editor: Jona han W. Pine, Jr.
Senior Product Managers: Emilie Moyer and Grace Capu o
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© 2012 by LIPPINCOT WILLIAMS & WILKINS, a Wolters Kluwer business
First edition, © 2003 e McGraw-Hill Companies, Inc.
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All righ s reserved. T is book is pro ec ed by copyrigh . No par o his book may be reproduced in any orm by any
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rom he copyrigh owner, excep or brie quo a ions embodied in cri ical ar icles and reviews. Ma erials appearing in
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Prin ed in China
Library of Congress Cataloging-in-Publication Data
Rapuano, Chris opher J.
Cornea / Chris opher J. Rapuano. – 2nd ed.
p. ; cm. – (Color a las & synopsis o clinical oph halmology–Wills Eye Ins i u e)
Includes bibliographical re erences and index.
ISBN 978-1-60913-338-2 (alk. paper)
1. Cornea–Diseases–A lases. 2. Cornea–Diseases–Handbooks, manuals, e c. I. i le. II. Series: Color a las
and synopsis o clinical oph halmology series.
[DNLM: 1. Corneal Diseases–A lases. WW 17]
RE336.R37 2011
617.7'19–dc23
2011025133
Care has been aken o con rm he accuracy o he in orma ion presen ed and o describe generally accep ed prac ices.
However, he au hors, edi ors, and publisher are no responsible or errors or omissions or or any con sequences
rom applica ion o he in orma ion in his book and make no warran y, expressed or implied, wi h respec o he
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si ua ion remains he pro essional responsibili y o he prac i ioner.
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10 9 8 7 6 5 4 3 2 1
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To my wonderful wife, Sara, an essential partner at home and at work; we continue to make a perfect team;
our children—Michael, Patrick, Daniel, and Megan—for always reminding me what is important in life;
my parents, Cathie and Al, for all their love and support over the years; and
my three brothers, sisters-in-law, brothers-in-law, and their children, who demonstrate how essential family
really is in our lives.
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Abou he Series
T
he beau y o he a las/ synopsis concep is T e goal o he series is o provide an up- o-
he power ul combina ion o illus ra ive da e clinical overview o he major areas o
pho ographs and a summary approach o he oph halmology or s uden s, residen s, and
ex . Oph halmology is a very visual discipline prac i ioners in all he heal hcare pro essions.
ha lends i sel nicely o clinical pho ographs. T e abundance o large, excellen -quali y pho-
While he seven oph halmic subspecial ies ographs and concise, ou line- orm ex will
in his series—Cornea, Re ina, Glaucoma, help achieve ha objec ive.
Oculoplas ics, Neurooph halmology, Uvei is,
and Pedia rics—employ varying levels o
visual recogni ion, a rela ively s andard orma Chris opher J. Rapuano, MD
or he ex is used or all volumes. Series Editor
vi
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Pre ace
T
he main objec ive o basic oph halmic es s, di eren ial diagnoses, and rea men . In
educa ion is o rain he user o discover addi ion o providing prac ical in orma ion on
he ull his ory o he pa ien ’s illness, rec- he approach and managemen o each con-
ognize he abnormal physical signs, make a di ion, his book aids recogni ion o clinical
diagnosis, and sugges appropria e me hods signs by including a selec ion o classic pho-
o rea men . T e aim o higher raining is o ographs. In he feld o cornea s udy, he old
ampli y hese capabili ies in bread h and dep h saying, “A pic ure is wor h a housand words,”
hrough prac ical experience and subspecial y is inadequa e because no even a housand
raining. During case presen a ions and even words can subs i u e or a good pic ure o he
clinical examina ions, i is no uncommon o condi ion. I is hoped ha he ex ensive use o
encoun er residen s making he wrong diag- color pho ographs hroughou his a ordable
nosis and arriving a he wrong rea men plan. a las will have a grea impac on he memory
T ere are wo principal reasons or his error. and acili a e learning.
Firs , hey may ail o de ec all he abnormal
o emphasize he impor ance o sign recogni-
signs, and, second, hey are unable o in egra e
ion and he powers o observa ion, he ollow-
and in erpre he ac s ha are collec ed. T e
ing quo a ions may serve as use ul reminders
f rs s ep in he managemen o any condi ion
or all o us:
is making a correc diagnosis. One mus be
able o de ec all he abnormal signs and know Credi mus be given o observa ion ra her
wha one is observing. han heories, and o heories only in so ar as
hey are confrmed by he observed ac s.
T e goal o his book is o use color pho o-
graphs o he impor an corneal, an erior seg- Aris o le
men , and ex ernal diseases wi h ou line- orm
ex o succinc ly illus ra e and describe hese T e more I see, he more I see here is o see.
condi ions. T is a las is in ended no only or
John Sebas ian
oph halmic residen s and cornea ellows bu
also or prac icing physicians. Each sec ion
covers he clinical ea ures o he impor an Chris opher J. Rapuano, MD
cornea and ex ernal eye diseases, diagnos ic Editor
vii
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Acknowledgmen s
I
would like o acknowledge he many people or all heir help and exper ise wi h he pho-
who helped make his book a reali y. Mos ographic needs or his book and or all he
o he clinical pho ographs came rom my volumes in his series.
pa ien s. I am gra e ul o hem or allowing
I wish o hank Jona han Pine, Emilie Moyer,
me o subjec hem o ash pho ography.
Grace Capu o, and he eam a Lippincot
Several colleagues generously supplied addi ional
Williams & Wilkins or giving me he oppor-
pho os, including Kris in Hammersmi h, MD,
uni y o be par o his series and or keeping
Elisabe h Cohen, MD, Pe er Laibson, MD,
he process moving orward.
Irving Raber, MD, Wee-Jin Heng, MD, and
Finally, I hank all o our ellows and residen s,
also Rolande Michaud, MD, via Pa ricia
pas and presen , or all hey do o encourage
Laughrea, MD, rom Quebec, Canada.
me o con inue eaching and learning in our
I also hank Jack Scully and Roger Barone o wonder ul subspecial y o cornea and an erior
he Audio-Visual Depar men a Wills Eye segmen disease.
viii
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