Series Editors Ashok Garg MS PhD FIAO (Bel) FRSM FAIMS ADM FICA
International and National Gold Medalist Chairman and Medical Director Garg Eye Institute and Research Centre
235-Model Town, Dabra Chowk Hisar-125005
(India)
Emanuel Rosen MD
Medical Director Rosen Eye Associates
Harbour City, Salford Quays M50 3 BH UK
Editors Jose Maria Ruiz Moreno MD PhD
Professor of Ophthalmology Albacete Medical School University of Castilla La Mancha
Avendia de Almansa, 1402006, ALBACETE Spain
T Mark Johnson MD FRCS
Consultant Vitreoretinal Surgeon National Retina Institute,
Suite 101, 5530 Wisconsin Ave Chevy Chase 20815, USA
Foreword Marta S De Figueroa
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Instant Clinical Diagnosis in Ophthalmology Retina and Vitreous
© 2008, Editors
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 author and the publisher.
First Edition: 2008
9788184483932
Typeset at JPBMP typesetting unit
Printed at Ajanta Press
4Dedicated to
- My Respected Param Pujya Guru Sant Gurmeet Ram Rahim Singh Ji for his Blessings and Motivation
- My Respected Parents, Teachers, My Wife Dr Aruna Garg, Son Abhishek and Daughter Anshul for their Constant Support and Patience during all these Days of Hard Work
- My Dear Friend Dr Amar Agarwal, a Renowned International Ophthalmologist for his Constant Support, Guidance and Expertise
—Ashok Garg
The Memory of My Step Daughter Nicola Ross who Enjoyed Benefits from Refractive Surgery was Cut Short by A Tragic Fatal Illness
—Emanuel Rosen
My Family (Magali, My Wife and Jorge, Guillermo and Magali My Children) for the Time, Comprehension and Patience that they have had with me during all these Years of Hard Work
—Jose M Ruiz Moreno
My Wife Joanne and My Son Connor for Providing me with their Love, Wisdom and Support throughout the Years
—T Mark Johnson
5Contributors
- Ajay Aurora ms
- Sr. Vitreoretina Consultant and Director, Delhi Retina Centre
- Chaudhary Eye Centre and Laser
- Vision, 4802, Bharat Ram Road
- 24, Darya Ganj, New Delhi, India
- Alay Banker ms
- Banker Retina Clinic and Laser Centre
- 5 - Subhash Society
- Behind Ishvar Bhuvan
- Navrangpura
- Ahmedabad - 380009, India
- Anjli Hussain ms
- Medical Retina and ROP Specialist
- LV Prasad Eye Institute
- LV Prasad Marg
- Banjara Hills
- Hyderabad - 500034
- India
- Ashok Garg ms phd frsm
- Chairman and Medical Director
- Garg Eye Institute and Research Centre
- 235-Model Town, Dabra Chowk
- Hisar - 125005, India
- Avnindra Gupta md
- Consultant
- Retina Management Group
- Centre for Sight
- B-5/24, Safdarjung Enclave
- New Delhi - 110029, India
- Debraj Shome md frcs
- Head Deptt. of Ophthalmic and Facial Plastic Surgery
- Aditya Jyot Eye Hospital Pvt. Ltd.
- Plot No. 153
- Road No. 9
- Major Parmeshwaran Road
- Opp. SIWS College
- Gate No. 3
- Wadala, Mumbai - 400031
- India
- Dinesh Talwar md
- Sr. Consultant Ophthalmologist
- Apollo Hospitals
- Director Vitreoretina Services
- Centre for Sight
- B-5/24, Safdarjung Enclave
- (Opp. Deer Park)
- New Delhi - 110029
- India
- Emanuel Rosen md frcs
- Rosen Eye Associates
- Harbour City
- Salford Quays
- M50 3 BH
- UK
- Francisco L Lugo md
- Consultant
- Vitreoretinal Department
- Alicante Institute of Ophthalmology
- Alicante
- Spain
- HK Tewari md
- Ex-Chief
- Dr RP Centre for Ophthalmic Sciences
- AIIMS, Retina Management Group
- Centre for Sight
- B-5/24, Safdarjung Enclave
- New Delhi - 110029
- India
- Hsi Kung Kuo md
- Department of Ophthalmology
- Chang Gung Memorial Hospital
- Kaohsiung Medical Centre
- 123, Tapei Road, Niaosung
- Hsein, Kaohsiung, Hsein
- 883, Taiwan ROC
- Javier A Montero md phd
- Vitreoretina Department
- Alicante Institute of Ophthalmology
- Alicante
- Spain
- Jose M Ruiz Moreno md
- Professor
- Department of Ophthalmology
- Albacete Medical School
- Castilla La Macha University
- Avendia de Almansa, 14
- 02006, Albacete
- Spain
- Lalit Verma md
- Senior Vitreoretina Consultant
- Apollo Hospitals and Center for Sight
- B-5/24, Safdarjung Enclave
- (Opp. Deer Park)
- New Delhi-29
- India
- Madhu Karna md
- Associate Consultant
- Retina Management Group
- Centre for Sight
- B-5/24, Safdarjung Enclave
- New Delhi - 110029
- India
- Nazimul Hussain ms, dnb
- Consultant Vitreoretina Specialist
- Al Zahra Pvt. Hospital
- Sharjah/Dubai, UAE
- Neeraj Sanduja md
- Consultant Vitreoretinal Surgeon
- Dr. Chaudhary Eye Centre and Laser Vision
- 4802, Bharat Ram Road
- 24 Daryaganj, New Delhi
- India
- Nikoloz Labauri md
- Aditya Jyot Eye Hospital Pvt. Ltd.
- Plot No. 153, Road No. 9
- Major Parmeshwaran Road
- Opp. SIWS College, Gate No. 3
- Wadala, Mumbai - 400031
- India
- Pedro Amat Peral md
- Vitreoretinal Department
- Alicante Institute of Ophthalmology
- Alicante, Spain
- Priyanka Doctor ms
- Aditya Jyot Eye Hospital Pvt. Ltd.
- Plot No. 153, Road No. 9
- Major Parmeshwaran Road
- Opp. SIWS College, Gate No. 3
- Wadala, Mumbai - 400031
- India
- Rajpal Vohra md
- Professor of Ophthalmology
- Dr RP Centre for Ophthalmic Sciences
- AIIMS, Ansari Nagar
- New Delhi - 110029
- India
- Rupesh Aggarwal ms
- Consultant
- LV Prasad Eye Institute
- LV Prasad Marg
- Banjara Hills
- Hyderabad - 500034
- India
- S Natarajan ms
- Chairman and Medical Director
- Aditya Jyot Eye Hospital Pvt. Ltd.
- Plot No. 153, Road No. 9
- Major Parmeshwaran Road
- Opp. SIWS College, Gate No. 3
- Wadala, Mumbai - 400031
- India
- Shaifali Singla md
- Retina Management Group
- Centre for Sight
- B-5/24, Safdarjung Enclave
- New Delhi - 110029
- India
- Soumen Mondal ms
- Aditya Jyot Eye Hospital Pvt. Ltd.
- Plot No. 153, Road No. 9
- Major Parmeshwaran Road
- Opp. SIWS College, Gate No. 3
- Wadala, Mumbai - 400031
- India
- Supriya Dabir ms
- Aditya Jyot Eye Hospital Pvt. Ltd.
- Plot No. 153, Road No. 9
- Major Parmeshwaran Road
- Opp. SIWS College, Gate No. 3
- Wadala, Mumbai - 400031
- India
- T Mark Johnson md, frcsc
- Consultant Vitreoretinal Surgeon
- National Retina Institute
- Ste 101-5530 Wisconsin
- Ave Chevy Chase
- MD 20815
- USA.
- Vikrant Sharma ms
- Consultant Ophthalmologist
- Grewal Eye Institute
- Sector 9-C, Madhya Marg
- Chandigarh - 160009
- India
When Dr. Ashok Garg honored me with the opportunity to write the foreword to this book, he sent me the table of contents and the list of contributors. I knew immediately that the textbook he and his team of co-editors had planned to write, edit and publish would be an outstanding and, indeed, invaluable resource for both general ophthalmologists and vitreoretinal specialists.
My initial reaction proved to be right, for the book provides an admirably broad yet detailed overview of retinal diseases. In addition, the contributors have assembled a wonderful collection of illustrative fundus photographs and angiograms; thus, constituting a remarkable educational resource on diseased human fundi. Dr Garg and co-editors' efforts will be rewarded with the gratitude of clinicians and their patients.
Marta S De Figueroa
Chairman and Medical Director of Vissum Mirasierra
Santa Hortensia 58
28002 Madrid, Spain
Director of Vitreoretinal Department
Ramony Cajal University Hospital
Carretera de Colmenar Km 9
28034 Madrid, Spain
Professor University Alcalá de Henares
Madrid, Spain
E-mail: figueroa@servicom2000.com
9Preface
In modern day busy and fast life ophthalmologists are glued to their clinical and surgical practice and have little time to read large volume books. The need of hour is to have pocket size ready recokner enriched with complete and uptodate information of the diseases in a most comprehensive manner. At present very few quality ready-reference books are available at an International level.
After detail research for the need of ophthalmologists we have developed a series of 10-volume ready-reference books titled as Instant Clinical Diagnosis in Ophthalmology. This series covers Oculoplastic and Reconstructive Surgery, Retina and Vitreous, Lens, Glaucoma, Refractive Surgery, Pediatric Ophthalmology, Strabismus, Anterior Segment diseases, Cornea and Neurophthalmology. The present series has been designed to provide uptodate information of concerned disease in a comprehensive and a lucid manner along with high quality clinical photographs in a easy to read format. International masters of concerned subject have contributed chapters in this series covering pathophysiology, clinical signs and symptoms, investigations, differential diagnosis, treatment and prognosis in a simplified manner.
This volume deals with important topic of retina which is the most sensitive, photoreceptive and innermost nervous tunic of the globe. Every ophthalmologists be an anterior or posterior segment surgeon must have complete knowledge of retina. This book covers all the clinical conditions of retina alongwith clinical photographs to serve as visual aid to ophthalmologists. Illustrations are clear and precise and include all the relevant information.
We are highly thankful to our publisher M/s Jaypee Brothers Medical Publishers (P) Ltd. specially Shri Jitendar P Vij (CEO), Mr Tarun Duneja, General Manager (Publishing) and all staff members for their dedication and hard efforts put in for the preparation of high quality series of instant clinical books.
We hope this 10-volume set of ready-reference small size books will provide complete and useful clinical information to ophthalmologists all around the world and will help them accurately and precisely diagnose, treat and manage their clinical cases confidently to the satisfaction and expectations of their valued patients. We also hope this ready reckoner will serve as useful companion on every clinician desk.
Editors