Clinical Practice in Ophthalmology Sandeep Saxena
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1Clinical Practice in Ophthalmology2
3Clinical Practice in Ophthalmology
Editor Sandeep Saxena MS MAMS Member, National Academy of Medical Sciences India Fellow, Barnes Retina Institute and Anheuser-Busch Eye Institute, St. Louis, USA Fellow, New York-Presbyterian, The University Hospitals of Columbia and Cornell, New York, USA Assistant Professor, Department of Ophthalmology Member, KGMC Institute of Clinical Epidemiology CSM Medical University (Upgraded King George's Medical College) Lucknow, India
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: 23272143, 23272703, 23282021, 23245672, 23245683 Fax: 011-23276490
Visit our website: http://www.jpbros.20m.com
Branches
Clinical Practice in Ophthalmology
© 2003, Sandeep Saxena
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition : 2003
Publishing Director: RK Yadav
9788180611353
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
5
To
My parents Dr RC Saxena and Mrs Madhu Saxena
My mentors
Dr Dipak Kumar, Drs Harvey Lincoff, Travis A Meredith
Matthew A Thomas and Lawrence A Yannuzzi
and
Sangeeta, Puneet, Madhulika, Manoj, Vandana and Shreeya
6
7Contributors
8
9Foreword
The pace of change in ophthalmology is rapid and requires us to constantly update our skills and knowledge. We are subspecialized to a degree that demands that we must stay in close communication with our colleagues to be able to follow the advances occurring in the separate subdivisions of our specialty. In this challenging intellectual environment a text bringing together respected authors from multiple disciplines is particularly welcome, and Dr Saxena has accomplished this task with great success. Twenty-one chapters cover new concepts and technological advances in the diagnosis and management of common ophthalmic disorders. Several chapters deal with advances in lens surgery, and several authorities cover new concepts in retinal disease including macular and submacular surgery. Modern concepts in corneal disease, glaucoma, oculoplastics, ocular oncology, infectious and inflammatory diseases, strabismus, trauma, and optic nerve disorders are each presented by experts in Indian ophthalmology. As ophthalmology has become more complex we are driven to establish higher standards of scientific proof for our treatments and simultaneously to run our practices with greater efficiency to be able to bring the best of high technology to bear on our patients problems while being mindful of cost. Thus, I was particularly pleased to see practice management and clinicial trials covered in this text. Dr Saxena is an extraordinarily gifted and energetic physician and academician who, along with his fellow authors, has produced a book, which is an important contribution to contemporary ophthalmic education. Readers will benefit greatly from this accomplishment.
Travis A. Meredith md
Sterling A Barrett Distinguished Professor
Chairman, Department of Ophthalmology
University of North Carolina
Chapel Hill, USA
10
11Preface
With the evolution of new diagnostic and therapeutic modalities, the ophthalmologist has become more involved in decision-making for patients. The challenge facing the ophthalmologist lies in maintaining an up-to-date practical knowledge. This thirst for knowledge is typical of those who are fascinated by the subject but is also true of those who develop a great understanding of the subject.
Clinical Practice in Ophthalmology, a multi-authored text, was conceptualized in New York, USA. The publisher and the contributing authors were contacted on Internet to lay the groundwork. This book summarizes the present knowledge of clinical ophthalmology and practice management. The value of this book lies in the quality and expertise of the authors of the selected subjects. The authors have presented the material to provide the reader with a quick but comprehensive review of the major ophthalmological issues. This pragmatic book provides an understanding of diseases so important to the everyday practice of ophthalmology. I hope this book will find a meaningful and valued place in the libraries of ophthalmologists, today and in future.
This book would not have been possible without the guidance of my mentors, cooperation of my family and help of Dr SK Bhasker.
Sandeep Saxena