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Recent Advances in Ophthalmology (Volume 11)
HV Nema, Nitin Nema
CHAPTER 1:
Fungal Keratitis
Introduction
Epidemiology
Classification of Fungi
FILAMENTOUS FUNGI
YEASTS
DIMORPHIC FUNGI
Risk Factors
Pathogenesis
Clinical Features
FILAMENTARY FUNGI
Histopathology
Laboratory Diagnosis
Medical Treatment
POLYENES
Natamycin
Amphotericin B
Nystatin
IMIDAZOLES
Clotrimazole
Miconazole
Econazole
Ketoconazole
Fluconazole
Itraconazole
Voriconazole
FLUORINATED PYRIMIDINES
Flucytosine
Principles of Therapy
Surgical Treatment
Conclusion
CHAPTER 2:
Episcleritis and Scleritis
Introduction
Anatomic Considerations
Nomenclature and Classification
Episcleritis
Scleritis
DIAGNOSIS
NECROTIZING ANTERIOR SCLERITIS WITHOUT INFLAMMATION
POSTERIOR SCLERITIS
INFECTIOUS SCLERAL INFLAMMATION
DIAGNOSTIC EVALUATION OF SCLERITIS
B-scan Ultrasonography
Ultrasound biomicroscopy
COMPLICATIONS OF SCLERITIS
TREATMENT
TREATMENT OF INFECTIOUS SCLERITIS
SURGICAL TREATMENT
Summary
CHAPTER 3:
Progression of Optic Disk and Visual Field Changes in Glaucoma
Introduction
HOW TO EXAMINE AND DOCUMENT CHANGES IN THE OPTIC NERVE HEAD?
NEURAL RIM
RETINAL NERVE FIBER LAYER
BLOOD VESSEL CHANGES
PERIPAPILLARY ATROPHY
CUP-DISK RATIO
DOCUMENTATION
DETECTING CHANGE OR PROGRESSION IN GLAUCOMA
SIGNIFICANCE OF OPTIC DISK HEMORRHAGES (DRANCE HEMORRHAGES)
DETECTION PROGRESSION IN VISUAL FIELDS
FLUCTUATION VERSUS PROGRESSION
HOW FREQUENTLY SHOULD VISUAL FIELDS BE DONE TO ASSESS GLAUCOMA PROGRESSION
EVENT AND TREND-BASED ANALYSES
PROGRESSION ANALYSIS USING OCTOPUS EYESUITE PERIMETRY
MONITORING PROGRESSION WITH PHOTOGRAPHY AND IMAGING DEVICES
The Future
CHAPTER 4:
OCT in Glaucoma
Introduction
Basic Principles of OCT
Comparison with HRT, GDx and RTA
Comparison with Ultrasound
Importance of Oct in Glaucoma
Instrumentation
Procedure
Clinical Uses
Scans
Different Analysis Protocols in Glaucoma
RETINAL NERVE FIBER LAYER THICKNESS ANALYSIS
Interpretation of RNFL Thickness Average Analysis
Clinical Interpretation of RNFL Thickness Average Analysis
OPTIC NERVE HEAD ANALYSIS
MACULAR THICKNESS ANALYSIS
Macular Thickness and Macular RNFL Thickness in Glaucoma Eyes
SD OCT
OPTIC DISK SCAN
FUNDUS IMAGE
RNFL THICKNESS MAP
Deviation Map
Average Thickness Values
ISNT THICKNESS PROFILES
NORMATIVE DATABASE
Advantages of OCT
Disadvantages
NORMATIVE INDIAN DATA
The Future
CHAPTER 5:
Multifocal IOLs
Introduction
TECNIS ZM 900
REZOOM MULTIFOCAL IOL
Selection of Patients
Patient Expectations
PREOPERATIVE TESTING
SURGICAL TECHNIQUE
IMPLANTATION TECHNIQUE OF TECNIS OR REZOOM
ENHANCEMENT AND LENS EXCHANGE
INTRAOCULAR LENS EXCHANGE
STAGED IMPLANTATION AND CUSTOM MIXING OF IOLS
WHICH LENS IN WHICH EYE?
Refractive Lens Exchange Customizing-Mixing and Matching Tecnis-Rezoom
IOL POWER CALCULATION AND SURGERY
MEASUREMENTS AND ANALYSIS
Results
CHAPTER 6:
Scleral Fixated Intraocular Lenses
Introduction
Sutures
PLACEMENT OF SCLERAL SUTURES
SCLERAL SUTURE FIXATION TECHNIQUES
Simple Knotting Over the Sclera
Corneal Autografts for External Knots
Covering with Fascia Lata or Dura Mater
Covering with Scleral Flaps
Continuous-loop Fixation Technique
Four Points of Fixation Underneath the Superficial Scleral Flap
Limbal-groove Incision and Double-suture Fixation
Trans-scleral Fixation of Intraocular Lenses through Sclerotomy
SCLERAL INCISION TECHNIQUE
SCLERAL FIXATION WITHOUT CONJUNCTIVAL DISSECTION
SCLERAL TUNNEL TECHNIQUE
KNOTLESS SCLERAL FIXATION
KNOT AND SUTURE BURYING INTO THE SCLERA WITHOUT FLAP, TUNNEL, INCISION OR GROOVE
FIXATION OF THE HAPTICS IN A LIMBUS-PARALLEL SCLERA TUNNEL T2 NO GLUE NO SUTURES TECHNIQUE (FIGS 6.2 TO 6.5)
CHAPTER 7:
Advances in Retinopathy of Prematurity
Introduction
Incidence
Pathogenesis
Risk Factors
Pathology
Classification
Screening Guidelines
Differential Diagnosis
Management
Treatment Modality
Consequences
Advances
IMAGING
COMPUTER-ASSISTED QUANTIFICATION OF PLUS DISEASE
TELESCREENING
Conclusion
CHAPTER 8:
Current Concepts in Central Serous Chorioretinopathy
Introduction
ACUTE CSCR
CHRONIC CSCR
Pathophysiology
Epidemiology
VISUAL MORBIDITY
RACE
SEX
AGE
SIGNS AND SYMPTOMS
Pathogenesis
LABORATORY STUDIES
Fundus Fluorescein Angiography
Indocyanine Green Angiography
Optical Coherence Tomography
ACUTE CSCR (FIGS 8.6 TO 8.8)
CHRONIC CSCR (FIG. 8.9)
Three-dimensional Optical Coherence Tomography
Multifocal Electroretinography
Fundus Autofluorescence
Microperimetry
TREATMENT
Medical
Laser Photocoagulation
Photodynamic Therapy
Transpupillary Thermotherapy
Micropulse Yellow Laser Therapy
FOLLOW-UP
COMPLICATIONS
PROGNOSIS
CHAPTER 9:
Idiopathic Macular Telangiectasia
History and Evolution of Terminology
Classification of Idiopathic Macular Telangiectasia
Epidemiology and Natural History
Diagnostic Investigations
Differential Diagnosis
Pathophysiology and Systemic Associations
Treatment of IMT
Summary
CHAPTER 10:
Recent Advances in Management of Retinal Vascular Occlusions
Introduction
Pathogenesis
BRANCH RETINAL VEIN OCCLUSION
CENTRAL RETINAL VEIN OCCLUSION
Recent Advances in the Management of RVO
Epidemiology
NATURAL COURSE OF CRVO
NATURAL COURSE OF BRVO
Diagnosis
OPTICAL COHERENCE TOMOGRAPHY
Systemic Work-up
ROLE OF ATHEROSCLEROSIS
ASSOCIATION WITH CAROTID ARTERY OBSTRUCTION
ROLE OF LABORATORY INVESTIGATIONS IN YOUNG PATIENTS
Interventions for RVO
INTRAVITREAL STEROIDS
Intravitreal Anti-VEGF Drugs
CURRENT ROLE OF BEVACIZUMAB IN RVO
ROLE OF RANIBIZUMAB
PEGAPTANIB SODIUM
RADIAL OPTIC NEUROTOMY
LASER-INDUCED CHORIORETINAL VENOUS ANASTOMOSIS
PARS PLANA VITRECTOMY AND AV SHEATHOTOMY
HEMODILUTION
DIRECT INJECTION OF TISSUE PLASMINOGEN ACTIVATOR INTO THE RETINAL VEIN LUMEN AND OTHER THROMBOLYTICS
CHAPTER 11:
Macular Dystrophies
Introduction
Definition of Hereditary Macular Dystrophies
Classification
Autosomal Dominant Macular Dystrophies
BEST'S VITELLIFORM DYSTROPHY
Ophthalmoscopic Staging and Visual Function5
PATTERN DYSTROPHY
Foveomacular Vitelliform Dystrophy—Adult Type
Butterfly-shaped Pigment Pattern Dystrophy
Reticular Dystrophy of the Pigment Epithelium
Coarse Pigment Mottling in the Macula
CENTRAL AREOLAR CHOROIDAL AND PIGMENT EPITHELIAL ATROPHY
FAMILIAL DOMINANT DRUSEN
NORTH CAROLINA MACULAR DYSTROPHY
PROGRESSIVE FOVEAL DYSTROPHY1,2
AUTOSOMAL DOMINANT INHERITED CME
Autosomal Recessive Macular Dystrophies
STARGARDT'S DISEASE AND FUNDUS FLAVIMACULATUS
Vermillon Fundus and Hidden Choroidal Fluorescence (Fig. 11.8)
Atrophic Maculopathy with or without Flecks (Fig. 11.9)
Atrophic Maculopathy with Late Signs and Symptoms of Retinitis Pigmentosa (RP)
Flecks Not Associated With Macular Atrophy
BIETTI'S CRYSTALLINE DYSTROPHY
SJÖGREN'S RETICULAR DYSTROPHY OF THE RPE
X-linked Recessive Diseases
JUVENILE X-LINKED RETINOSCHISIS
Clinical Features
Visual Fields
ERG and EOG
NON-SEX-LINKED FOVEAL SCHISIS
MANAGEMENT OF HEREDOMACULAR DYSTROPHY
CHAPTER 12:
Macular Hole
Introduction
Pathogenesis of Macular Hole
Staging of Macular Holes
Etiology of Macular Hole
TRAUMA
PROGRESSIVE HIGH MYOPIA (FOVEAL SCHISIS)
PRECEDING RHEGMATOGENOUS RETINAL DETACHMENT REPAIR
DIFFERENTIAL DIAGNOSIS
Investigations
MEDICAL CARE
SURGICAL COMPLICATIONS
REOPERATION
Summary
CHAPTER 13:
Proliferative Vitreoretinopathy
Introduction
Pathogenesis
Terminology and Classification
Risk Factors
Clinical Features
Investigations
Management
PROPHYLAXIS
SURGICAL MANAGEMENT
ADJUVANT THERAPY
CHAPTER 14:
Choroidal Melanoma
Introduction
Clinical Features
Secondary Changes in the Eyes
Differential Diagnosis
Pathophysiology and Prognosis of Uveal Melanoma
Investigations
ULTRASONOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHY
INDOCYANINE GREEN ANGIOGRAPHY
COMPUTERIZED TOMOGRAPHY
MAGNETIC RESONANCE IMAGING
FINE NEEDLE ASPIRATION BIOPSY
METASTATIC WORK-UP
MANAGEMENT OF CHOROIDAL MELANOMA
OBSERVATIONS
LASER PHOTOCOAGULATION
TRANSPUPILLARY THERMOTHERAPY
PHOTODYNAMIC THERAPY
RADIATION
Role of External Beam Radiotherapy
Charged Particle Radiation
Brachytherapy
Surgery
RESECTION
ENUCLEATION
Conclusion
CHAPTER 15:
Fracture of the Orbital Floor: Management
Introduction
Mechanism of Blow-out Fracture
Clinical Assessment
Clinical Presentation
EYELID ECCHYMOSIS/HEMATOMA AND PROPTOSIS
SUBCUTANEOUS EMPHYSEMA
INFRAORBITAL HYPOESTHESIA
RESTRICTION OF OCULAR MOTILITY WITH DIPLOPIA
ENOPHTHALMOS/HYPOPHTHALMOS
Investigations
X-RAYS
COMPUTED TOMOGRAPHY (CT SCAN)
MAGNETIC RESONANCE IMAGING (MRI)
Indications of Repair
IMMEDIATE REPAIR
REPAIR WITHIN 2 WEEKS
OBSERVATION
Surgical Management
Preoperative Management
Surgical Approaches
Anesthesia
TRANSCONJUNCTIVAL APPROACH'SWINGING EYELID APPROACH
TRANSCUTANEOUS APPROACH
CALDWELL-LUC APPROACH
Orbital Implant Materials
Management of Late Sequelae
LATE PERSISTENT DIPLOPIA
LATE ENOPHTHALMOS
Postoperative Complications
LOSS OF VISION
OCULAR MOTILITY RESTRICTION AND PERSISTENCE OF DIPLOPIA
LOWER EYELID RETRACTION
INFRAORBITAL NERVE DAMAGE
PERSISTENCE OF ENOPHTHALMOS
SYMBLEPHARON
IMPLANT EXTRUSION
ORBITAL INFECTION
CHAPTER 16:
Restrictive Strabismus
Introduction
Etiology
Classification
Difference between Restriction and Paresis
Specific Types of Restrictive Strabismus
THYROID OPHTHALMOPATHY
Management
Principles of Surgical Treatment
Postoperative Complications
CONGENITAL FIBROSIS OF EXTRAOCULAR MUSCLES
Clinical Features
Associated Ocular Findings
Treatment
Procedure
BROWN SYNDROME
Clinical Features
Etiology
Management
Indications for surgery are absolute or relative
Surgical techniques
DUANE'S RETRACTION SYNDROME
Etiology
Huber's Classification
Associations
Indications for Surgery
MONOCULAR ELEVATION DEFICIT SYNDROME
MANAGEMENT
Nonsurgical
Surgical Procedures
STRABISMUS FOLLOWING ORBITAL FRACTURE
Classification
Clinical Features
Mechanisms of Strabismus following Orbital Fracture
Treatment of Strabismus
Conservative Management
Surgical Management
STRABISMUS FOLLOWING RETINAL DETACHMENT SURGERY
Etiology
Management
Surgical Approach
GLAUCOMA EXPLANTS AND STRABISMUS
MYOTOXIC EFFECT OF LOCAL ANESTHETIC
CHAPTER 17:
HIV and Opportunistic Infections of Eye
Introduction
Ophthalmic Manifestations of AIDS
Cytomegalovirus retinitis
Clinical Features
Treatment
INITIAL DRUG TREATMENT
DISCONTINUATION OF ANTICYTOMEGALOVIRUS TREATMENT
Monitoring Patients
Screening Strategies
NECROTIZING HERPETIC RETINOPATHY
TOXOPLASMOSIS
Choroiditis
PNEUMOCYSTIS
MYCOBACTERIAL DISEASE
Clinical Features
Treatment
FUNGAL INFECTIONS
Cryptococcus
SPIROCHAETAL INFECTIONS
Treponema Pallidum
BACTERIAL INFECTIONS
Bacterial Keratitis
PROTOZOAL INFECTIONS
Microsporidial Keratitis
Treatment
VIRAL KERATITIS
Cytomegalovirus Keratitis
Herpes-zoster Ophthalmicus
Treatment
Herpetic Keratitis
Molluscum Contagiosum
Treatment
VASCULOPATHY
Large Vessel Disease
Conjunctival Microvasculopathy
NEOPLASMS
Kaposi's Sarcoma of Eyelid and Conjunctiva
Treatment
Cutaneous and Conjunctival Lymphoma
Treatment
Squamous Cell Carcinoma of Conjunctiva
Treatment
OTHER MANIFESTATIONS
Keratoconjunctivitis Sicca
Conjunctivitis
Trichomegaly
Atopic Dermatitis and Blepharitis
IATROGENIC AND POST-TREATMENT MANIFESTATIONS
Immune Recovery Uveitis
Retinal Detachment
Drug-induced Uveitis
Stevens-Johnson Syndrome
Corneal Phospholipidoses
Summary
CHAPTER 18:
Ocular Involvement in Systemic Rheumatic Diseases
Introduction
Rheumatoid Arthritis
CLASSIFICATION
Systemic Lupus Erythematosus
Wegener's Granulomatosis
Scleroderma or Systemic Sclerosis
Polyarteritis Nodosa
Ankylosing Spondylitis and the Seronegative Arthropathies
ANKYLOSING SPONDYLITIS
REITER'S SYNDROME
JUVENILE IDIOPATHIC ARTHRITIS
Treatment
GIANT-CELL ARTERITIS
CHAPTER 19:
An Update on Imaging in Neuro-ophthalmology
Introduction
Indications for Neuroimaging in Ophthalmology
Imaging Techniques
COMPUTED TOMOGRAPHY
Basic Principles
Clinical Indications
MAGNETIC RESONANCE IMAGING
Basic Principles
Examples of MRI Pulse Sequences
APPEARANCE OF VARIOUS TISSUES AND BODY FLUIDS ON MRI
Advantages of MRI
Disadvantages of MRI
MR SPECTROSCOPY
ANGIOGRAPHY
Digital Subtraction Angiography
CT Angiography
MR Angiography
FUNCTIONAL MAGNETIC RESONANCE IMAGING
Conclusion
CHAPTER 20:
Giant Cell Arteritis
Introduction
Historical Perspective
Epidemiology
Etiology
Pathology
Clinical Features
Ocular Features
Differential Diagnosis
Diagnosis
Complications
Treatment
CORTICOSTEROIDS
IMMUNOSUPPRESSIVE AGENTS
Methotrexate (MTX)
Infliximab
Aspirin
Conclusion
CHAPTER 21:
Radiation Retinopathy
Introduction
Etiology
Radiation Therapy
RADIATION TIMING AND MODALITY
EFFECTS OF RADIATION TREATMENT
Risk Factors
Comorbidities
Pathogenesis
Diagnosis
HISTORY
PHYSICAL EXAMINATION
SYMPTOMS
SIGNS
BIOMICROSCOPY
FINGER CLASSIFICATION
DIAGNOSTIC PROCEDURES
Differential Diagnosis
Management
MEDICAL
Anti-VEPF Therapy
Triamcinolone Acetonide Therapy
LASER
Grid Macular Laser Photocoagulation
Sector Scatter and Panretinal Laser Photocoagulation
SURGERY
Conclusion
INDEX
TOC
Index
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