Ophthalmology: A Pocket Textbook Atlas

637 Pages·2007·149 MB·English

by  Gerhard Lang

Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
I
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
III
Ophthalmology
A Pocket Textbook Atlas
Gerhard K. Lang, MD
ProfessorandChairman
UniversityEyeHospital
Ulm,Germany
Withcontributionsby
OskarGareis,GabrieleE.Lang,DorisRecker,
PeterWagner
Secondedition,revisedandenlarged
510illustrations
50tables
Thieme
Stuttgart· NewYork
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
IV
LibraryofCongressCataloging-in-Publication Importantnote:Medicineisanever-changing
Data science undergoing continual development.
Researchandclinicalexperiencearecontinually
Lang,GerhardK.
expanding our knowledge, in particular our
[Augenheilkunde.English] knowledgeofpropertreatmentanddrugther-
Ophthalmology:apockettextbookatlas/ apy.Insofarasthisbookmentionsanydosageor
GerhardK.Lang;withcontributionsby application,readersmayrestassuredthatthe
O.Gareis...[etal.].–2nded.,rev.andenl. authors, editors, and publishers have made
p.;cm. everyefforttoensurethatsuchreferencesarein
accordancewiththestateofknowledgeatthe
“Thisbookisanauthorizedrevisedand
timeofproductionofthebook.
enlargedtranslationoftheGermanedition
Nevertheless,thisdoesnotinvolve,imply,or
publishedandcopyrighted2004by
expressanyguaranteeorresponsibilityonthe
GeorgThiemeVerlag,Stuttgart,Germany”
partofthepublishersinrespecttoanydosage
–T.p.verso.
instructionsandformsofapplicationsstatedin
Includesindex. thebook.Everyuserisrequestedtoexamine
1.Ophthalmology–Handbooks,manuals,etc. carefully the manufacturers‘ leaflets accom-
2.Ophthalmology–Textbooks.3.Ophthal- panyingeachdrugandtocheck,ifnecessaryin
mology–Atlases.I.Gareis,O.(Oskar)II.Title. consultation with a physician or specialist,
whether the dosage schedules mentioned
[DNLM:1.EyeDiseases.WW140L269a2007a]
thereinorthecontraindicationsstatedbythe
RE48.9.L36132007
manufacturersdifferfromthestatementsmade
617.7–dc22
inthepresentbook.Suchexaminationispartic-
2006029787
ularly important with drugs that are either
1stGermanedition1998 rarelyusedorhavebeennewlyreleasedonthe
1stEnglishedition2000 market.Everydosagescheduleoreveryformof
2ndGermanedition2000 applicationusedisentirelyattheuser’sown
1stTurkishedition2001 riskandresponsibility.Theauthorsandpublish-
1stFrenchedition2002 ersrequesteveryusertoreporttothepublish-
1stSpanishedition2002 ersanydiscrepanciesorinaccuraciesnoticed.If
2ndSpanishedition2006 errorsinthisworkarefoundafterpublication,
erratawillbepostedatwww.thieme.comonthe
Basedontheoriginaltranslationby
productdescriptionpage.
JohnGrossman,Berlin,Germany
Illustrator:MarkusVoll,Munich,Germany
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PrintedinGermanybyApplAprintaDruck, tation,orcommercializationoutsidethenarrow
Wemding limitssetbycopyrightlegislation,withoutthe
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10-ISBN3-13-126162-5(GTV)
ecution.Thisappliesinparticulartophotostat
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cessingandstorage.
1 2 3 4 5 6
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
V
TheConceptbehindtheBookinBrief
Definition.Theconceptbehindthisbookwastoorganizethecontentandlay-
outaccordingtoauniformstructure.Thisenhancestheclarityofthepresen-
tationandallowsthereadertoaccessinformationquickly.Eachchapterhas
its own header icon, which is shown on every page in the chapter. Figure
headingssummarizethekeyinformationpresentedintherespectivefigure,
eliminatingtheneedforthereadertoreadthroughtheentirelegend.
Epidemiology.Intheabsenceofpreciseepidemiologicdata,theauthorsstate
whetherthedisorderiscommonorrarewhereverpossible.
Etiology.Thissectionusuallycombinesinformationabouttheetiologyand
pathogenesisofadisorderandinsodoinghelpstoilluminateimportantrela-
tionships.
Symptomsanddiagnosticconsiderations.Theseitemsareusuallydiscussed
separately. The section on symptoms includes only the phenomena with
which the patient presents. How and using what methods the examiner
proceedsfromthesesymptomstoadiagnosisisonlydiscussedunderdiag-
nosticconsiderations.
Sectionshighlightedwithabarattheleftcontainimportantfacts.Thesemay
befactsthatoneisoftenrequiredtoknowforexaminations,ortheymaybe
practicaltipsthatarehelpfulindiagnosingandtreatingthedisorder.
Differential diagnosis. Wherever possible, this section discusses not only
otherpossiblediagnoses,butalsoimportantcriteriafordifferentiatingthe
disorderfromothers.
Treatment.Thissectiongoesbeyondmerelydocumentingallpossiblethera-
peuticoptions.Italsoexplainswhichtherapeuticmeasuresareadvisableand
offeraprospectofsuccess.Thediscussionofmedicaltreatmentoccasionally
includesdosageinformationandexamplesofpreparationsused.Thisisdone
wheresuchinformationisrelevanttocasesstudentswillencounterinprac-
tice.Thetradenamesspecifieddonotrepresentacomprehensivelisting.
Prognosisandclinicalcourse.Thefurtherdevelopmentofthebookdependsin
nosmallmeasureonyourcriticism.Wearehappytoreceiveanysuggestions
forimprovementsasthiswillhelpustailorthenexteditiontobettersuityour
needs.Pleaseusetheenclosedpostcard.
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
VI
AbouttheAuthor
Prof. Gerhard K. Lang (born 1951) studied medi-
cine in Erlangen, Germany. After residency and
researchworkinErlangenandattheJohnsHop-
kinsHospitalinBaltimore,heservedasCo-Chair-
manattheDepartmentofOphthalmologyatthe
UniversityofErlangen-Nuremberg.Since1990he
hasbeenChairmanoftheDepartmentofOphthal-
mologyattheUniversityofUlm.
The author’s special interests lie in European
andinternationalophthalmology,andinparticu-
larthefieldofmedicalteaching.
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
VII
Preface
Inthissecondedition,wehaveagaindesignedthebookinaccordancewith
the principles of “understanding it in medical school,” “learning it for the
examination,”and“usingitduringinternship.”Thebroadergoalwastogive
studentsatextbookthatwouldkindletheirinterestandindeedtheirenthusi-
asmforophthalmology.Inanageinwhichteachingisundergoingevaluation,
wefeltthiswasparticularlyimportant.Inpursuingthisadmittedlyambitious
goal,wewereabletodrawonmanyyearsofteachingexperience,whichhas
shapedtheeducationalconceptbehindthisbook.Itcanbeseenindetails
such as the layout, which is characterized by numerous photographs and
illustrative drawings. We have placed particular emphasis on the figures.
Theseillustrationsaremeanttomakeophthalmologycomealive,andhope-
fullytheywillbeabletoletthereadershareintheenthusiasmtheauthors
themselveshavefortheirspecialty.
Iwouldliketotakethisopportunitytooffermyheartfeltthankstomy
teacher, Prof. G.O.H. Naumann (Erlangen, Germany), and also to my co-
authors,Dr.OskarGareis,Prof.GabrieleE.Lang,DorisRecker,andDr.Peter
Wagner,forthewillingcollaborationandtheexceptionalinitiativetheyhave
shown during the writing of this book. I would also like to extend special
thankstoDr.JürgenLüthjeandSabineBartlofThiemeMedicalPublishers,
whoseprofessionalismandactiveandtirelesssupportwereaconstantsource
ofinspirationtousall.IwouldagainliketothankMarkusVoll(Fürstenfeld-
bruck,Germany)forhissplendidillustrations.
GerhardK.Lang
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.
VIII
Contributors
OskarGareis,MD
Chairman
DepartmentofOphthalmology
MunicipalHospital
Pforzheim,Germany
GabrieleE.Lang,MD
Director
DepartmentofMedicalRetinaand
LaserSurgery
UniversityEyeHospital
Ulm,Germany
DorisRecker
Orthoptist
UniversityEyeHospital
Ulm,Germany
PeterWagner,MD
ChiefofMedicalStaff
UniversityEyeHospital
Ulm,Germany
Lang, Ophthalmology, 2nd. Ed. © 2006
All rights reserved. Usage subject to terms and conditions of license.