Table Of Content

Robbins and Cotran Atlas of Pathology ii Chapter 20 The Eye Robbins and Cotran Atlas of Pathology SECOND EDITION Edward C. Klatt, MD Professor of Pathology Department of Biomedical Sciences Mercer University School of Medicine Savannah, Georgia 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 ROBBINS AND COTRAN ATLAS OF PATHOLOGY, SECOND EDITION Standard ISBN: 978-1-4377-0170-8 Copyright © 2010, 2006 by Saunders, an imprint of Elsevier Inc. IE ISBN: 978-0-8089-2427-2 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. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK), fax: (+44) 1865 853333, e-mail: [email protected]. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions. Notice Neither the Publisher nor the Authors assume any responsibility for any loss or injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient. The Publisher Library of Congress Cataloging-in-Publication Data Klatt, Edward C., 1951– Robbins and Cotran atlas of pathology / Edward C. Klatt.—2nd ed. p. ; cm. Includes index. ISBN 978-1-4377-0170-8 1. Pathology—Atlases. I. Robbins, Stanley L. (Stanley Leonard), 1915–2003. II. Cotran, Ramzi S., 1932–2000. III. Title. IV. Title: Atlas of pathology. [DNLM: 1. Pathology—Atlases. QZ 17 K63r 2010] RB33.K55 2010 616.07022′2—dc22 2008040903 Standard ISBN: 978-1-4377-0170-8 IE ISBN: 978-0-8089-2427-2 Executive Editor: William Schmitt Developmental Editor: Christine Abshire Project Manager: Bryan Hayward Design Direction: Ellen Zanolle Working together to grow libraries in developing countries www.elsevier.com | www.bookaid.org | www.sabre.org Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 PrEfacE this second edition of the atlas accompanying the robbins series of texts has been updated with the addition of more than 100 new images that increase the depth of coverage of subject areas in pathology, enhancing its usefulness to the entire series. this atlas remains organized into chapters that closely follow the section on Diseases of Organ Systems in the eighth edition of the “big” Robbins and Cotran Pathologic Basis of Disease. the atlas is designed to complement both the Pathologic Basis of Disease and Basic Pathology texts by providing even more examples of disease processes in visual format. the atlas will also aid use of the robbins Pocket Companion. the atlas reflects the knowledge base of the robbins series primarily in a visual format, and since most students are “visual learners” they will readily take advantage of this study aid. the gross, microscopic, and radiologic images utilized for the figures as presented in this atlas are designed to reinforce each other, as well as those present in other works in the robbins series. In addition, there are examples of normal organs and tissues for review and orientation. each figure is accompanied by a brief description that provides the key points illus- trated by the figure. For initial and more complete study, the learner is directed to the robbins texts. the labels and descriptions provided for the figures will guide the learner in a discovery process while perusing these figures. though concise, the figure descriptions v vi Preface cumulatively yield a considerable volume of reading, but that reading is highly compart- mentalized to aid review. Correlations with findings from clinical history, physical exami- nation, and clinical laboratory testing are included in many of the descriptions. the atlas author pursues an integrative approach to medical education, combining elements of basic science, clinical, and behavioral subjects into learning materials that promote a flowering of knowledge to benefit those in need of health care. acknowlEdgmEnTs the author is indebted to the stalwart figures who fundamentally contributed to the devel- opment of the robbins series, starting with the founding author Dr. Stanley robbins, continuing with Dr. ramzi Cotran, and ongoing with Dr. Vinay Kumar. these lead authors have set the standard of excellence that characterizes this series. In addition there have been and continue to be numerous contributing authors who have made the robbins series into the valuable tool it remains for medical education. Just as no single monarch butterfly completes a migration, so too medical educators build upon the work of colleagues over many generations. persons associated with the publisher, elsevier, require special thanks including the project Manager, Bryan hayward, production editor, ellen Sklar, and the Developmental editor, Christine abshire. Of course, none of this work would be possible without the support and vision provided by Mr. William Schmitt, executive editor of Medical textbooks. vii To all who strive for improving the health of everyone. conTribuTors arthur J. Belanger, MhS, pa(aSCp) autopsy Service Manager Yale University School of Medicine New haven, Connecticut Ofer Ben-Itzhak, MD associate professor Faculty of Medicine technion-Israel Institute of technology haifa, Israel John a. Blackmon, MD associate professor Biomedical Sciences Florida State University College of Medicine tallahassee, Florida pathologist John D. archbold Memorial hospital thomasville, Ga professor David Y. Cohen Director of pathology herzliyah Medical Center herzliyah-on-Sea, Israel richard M. Conran, MD, phD, JD professor of pathology Uniformed Services University of the health Sciences Bethesda, Maryland todd Cameron Grey, MD Chief Medical examiner, State of Utah associate Clinical professor of pathology University of Utah Salt Lake City, Utah Ilan hammel professor of pathology; head, Graduate School; Chairman, Department of pathology tel aviv University tel aviv, Israel M. elizabeth h. hammond, MD professor of pathology and adjunct professor of Internal Medicine University of Utah School of Medicine Salt Lake City, Utah Sate hamza, MD assistant professor University of Manitoba Winnipeg, Manitoba, Canada ix