Second EditonLeonard B Nelson MD Director, The Wills Eye Strabismus Center Co-Director, Department of Pediatric Ophthalmology and Ocular Genetics, Wills Eye Hospital Associate Professor of Ophthalmology and Pediatrics Jefferson Medical Center Thomas Jefferson University Philadelphia, Pennsylvania, USA Robert A Catalano MD Associate Clinical Professor of Ophthalmology College of Physicians and Surgeons Columbia University New York, New York, USA Foreword Julia A Haller MD
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Wills Eye Strabismus Atlas
Second Edition: 2014
Printed at:Dedicated to
Our wives Helene and Madeline for their understanding, patience, and support throughout our entire professional careers.Foreword
Let your eyes look directly forward, and your gaze be straight before you.
For all of human history, until quite recently, the biblical injunction mandating a direct, straight gaze was out of reach for many. Remarkable progress in the last decades, however, has dramatically changed that situation. This second edition of the Wills Eye Strabismus Atlas by Nelson and Catalano builds on the latest advances in the fields of ocular motility and sensorimotor innervation: updating and expanding their classic text of 1989, this book serves as a guide for all who aim to diagnose and correct abnormalities of gaze.
This authoritative volume includes not only new research into sensory and motor abnormalities, but the latest advances in the diagnosis of the many strabismus disorders encountered in pediatric ophthalmology. With revised, state-of-the-art diagrams and illustrations in full color, the book is rich in clinical material: expanded with extensive use of cases from the Wills Eye Strabismus Center, directed by Dr Nelson. It serves as a comprehensive, readable, practical guide to strabismologists, ophthalmologists, residents, students, and health care practitioners at every level in the field.
The Proverbial gaze that is straight and direct: this second edition of the Wills Eye Strabismus Atlas, replete with essential new diagnostic and management guidelines, is a sine qua non for those dedicated to that goal.
Julia A Haller md
The William Tasman Endowed Chair in Ophthalmology
Wills Eye Hospital
Professor and Chair of Ophthalmology
Thomas Jefferson University
Philadelphia, Pennsylvania, USAPreface
Each year, we observe residents as they anxiously begin their first rotation in pediatric ophthalmology. With little knowledge and experience, these residents embark on a clinical course to obtain the necessary information and data to diagnose disorders of ocular motility and to formulate appropriate treatment plans. It is important for residents not only to be able to detect abnormalities in binocular function but to clearly understand the normal anatomic and physiologic relations in ocular motility. In this atlas, we have provided the reader with important and unique features of ocular anatomy, sensory physiology, and tests of sensory status and ocular alignment. With an understanding of normal binocular function, the reader can better appreciate the specific strabismus disorders and syndromes that are discussed in the second part of the atlas. This second edition of this atlas brings a number of changes to a publication which had been well received among residents, fellows, and the pediatric ophthalmology community in general as an excellent teaching and educational treatise on strabismus. The second edition is titled, Wills Eye Strabismus Atlas, as Wills Eye Hospital in Philadelphia, Pennsylvania, USA, is a rich storehouse of clinical material and provided the major background for this book. The Pediatric Ophthalmology and Ocular Genetics Department at Wills Eye Hospital cares for thousands of children and adults with strabismus and provides a rare opportunity for the study of an extremely wide variety of ocular motility disorders. The major change in this atlas is that it is in color which makes for an even better teaching publication. We hope that this second edition will continue to serve as an extremely helpful teaching and review manual for those interested in ocular motility.
Leonard B Nelson md
Robert A Catalano mdAcknowledgments
It is with pleasure and gratitude that we acknowledge the many individuals who helped make this publication possible. Laurie Maimone illustrated the first edition of this publication, and we remain very appreciative of her expertise as an artist. We are also indebted to Jack Scully, Roger Barone, and Michael Mehu for their tireless work photographing many patients and making numerous composites. The insight and assistance of Joe Rusko and Marco Ulloa Jr of M/s Jaypee Brothers Medical Publishers have seen this edition to fruition. Finally, we would like to thank all the residents and fellows whom we have had the privilege and opportunity to have taught. Their many questions and concerns for patient care have stimulated us to produce this treatise.