Manual of Neuro-ophthalmology Amar Agarwal
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1Manual of Neuro-ophthalmology2
3Manual of Neuro-ophthalmology
Second Edition
Editor Amar Agarwal Ms Frcs Frcophth Chairman and Managing Director Dr Agarwal's Group of Eye Hospitals and Eye Research Center Chennai, Tamil Nadu, India Foreword Nicole R Fram
4
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Manual of Neuro-ophthalmology
First Edition: 2009
First Edition: 2015
9789351527824
Printed at
5Dedicated to
Michael Snyder
6Contributors 7Foreword to the Second Edition
The practice of neuro-ophthalmology requires a complex understanding of neuroanatomy, detailed history taking and command over all ophthalmology subspecialties. What I find most rewarding about neuro-ophthalmology is that in order to accurately diagnose, a physician is forced to slow down and methodically engage with the patient. Whether your subspecialty rests in the anterior or posterior segment, patients with symptoms requiring a thorough neuroophthalmologic examination will inevitably walk through your door. It may begin with a weak or tremulous handshake, a subtle head tilt or an asymmetric eyelid. It is in that moment the bustling clinic stops, and all that matters is the patient sitting in front of you.
As an anterior segment surgeon, having a trusted resource to assist in understanding complex pathophysiology that will lead to an accurate neuroophthalmologic diagnosis is essential. The second edition of the Manual of Neuro-ophthalmology by Professor Amar Agarwal by Jaypee Brothers Medical Publishers is such a resource.
The Agarwals’ are recognized as world leaders in Ophthalmology, and have published numerous textbooks and manuscripts in the surgical and medical field of ophthalmology. Professor Amar Agarwal has the unique ability to organize contributors and publish prolifically. Moreover, he simplifies the most challenging concepts allowing knowledge to be transmitted to physicians in a meaningful and impactful manner. For this, we are all grateful.
Nicole R Fram MD
Private Practice
Advanced Vision Care
Los Angeles, CA
Clinical Instructor
Jules Stein Eye Institute
UCLA
8Foreword to the First Edition
Neuro-ophthalmology is a complex subspecialty which requires keen skills of clinical observation, attention to detail, and intricate thought processes in order to formulate the appropriate diagnostic and therapeutic plan for the patient. What makes the field even more challenging is our limited knowledge of the intricate neurological pathways between the eye and the brain; many of which are still being discovered, as long as our understanding is evolving.
To concisely and accurately explain the basics of neuro-ophthalmology is a difficult task, as it requires a thorough understanding of the subject as well as a natural gift for simplifying and organizing the material so that it appeals to a wide audience. Through the process of teamwork, the Agarwals’ have succeeded in creating an outstanding book for neuro-ophthalmology that will prove to be an excellent reference for a full spectrum of readers, from medical students to practising ophthalmologists.
Professor Amar Agarwal once explained to me that for any challenging situation, “The battle is in the brain”. Whether the task is climbing Mount Everest or writing a complete library of ophthalmology texts, the true challenge is in mind. Having the drive and determination to succeed, no matter the situation, is the mark of a true pioneer, and a characteristic of one of my strongest mentors, Professor Amar Agarwal.
Uday Devgan MD FACS
Chief of Ophthalmology
Olive View-UCLA Medical Center
UCLA School of Medicine
Private Ophthalmic Practice
Maloney Vision Institute
Los Angeles, California, USA
9Preface to the Second Edition
Amar Agarwal
Neuro-ophthalmology is a very confusing topic. The idea of this book is to make it easy for you. The game plan was to have simple illustrations which can explain the pathway of the nerves. Once the pathway is clear the lesions are a cake walk to understand. One advise would be to read the first four chapters in order and then continue the book as it will help simplify the problems in understanding this complex subject.
10Preface to the First Edition
Understanding Neuro-ophthalmology is a challenge. It took us a long time to comprehend the basics in this field when we were residents. That is the notion why we have written Manual of Neuro-ophthalmology. The idea is that you dear reader can go through the text and figures and never have difficulty in understanding this subject like we did.
We would like to thank our consultant Dr S Soundari for helping us. Shri Jitendar P Vij and his full team of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, have always supported our writing endeavors. Our sincere thanks to them. Finally, dear reader we hope this book will change your outlook to Neuro-ophthalmology.
Amar Agarwal
Athiya Agarwal