Ophthalmology: Clinical Signs and Differential Diagnosis

481 Pages·1999·48.59 MB·English

by  Jack J. Kanski

Op hthalmology |

pn Signs and Differential Diagnosis

Jack J Kanski « Ken K Nischal
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Clinical and Differential Diagnosis

ck J Kanski + Ken K Nischal
Jack J. Kanski
MD MS FRCS FRCOphth
Prince Charles Eye Unit
king Edward Vit Hospital
Windsor

Ken K. Nischal

FRCOphth

Consultant Ophthalmic Surgeon

Great Ormond Street Hospital for Children
London

With contributions from
Stanislaw A. Milewski
MD MA FACS

Assistant Clinical Professor
Department of Ophthalmology
University of Connecticut

Photographer
Anne Bolton
BIPP DATEC

NA Mosby

Lane Pena SaSpe Te
In memory of
Tony Shannan
and
Harbans Lal Nischal
Mospy
‘a iri of Hareoet Piss init

4s reise rndemark of Hacour Pushers Limited

{© Mosby Ineations Limited 1999
© Herat Pers Lire 2000

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the Copyright Licesing Agency Li, 99 Totem Court Road
Looe. WIP OLP.

The ps oJ Kags and K Nica o be let a te aor
of his work hase been assened by ther in ucordnce With te
Copyright, Designs and Pacts Act, 198,
Fine pts in 199 by Mosby

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Project Manager
Development Editors.
Preface
‘Acknowledgements
1 The eyelids

2 The orbit

3 The conjunctiva
4 Thesdera

6 The anterior chamber

25

‘There isan cver increasing pressure in our specialist fick
‘of ophthalmology to know more and more detail about
‘ach particular sub-specialty such a8 the vitre-etinal,
paliatric ophthalmology strabismus, and s0 on. However,
allthese differen sulspecalites still ave one very impor:
{ant common denominator: the eye and its component
pars Al ches component parts, such a the corns, ante-
for chamber ins, ens and s0 on, may exhibit different
sien: it isthe diflerenial diagnosis ofthese sigs chat lis
scthe hear of our everyday clinical practice

We have attempted to delineate these signs graphically
tnd their differential diagnoses logically and practically,
tnd structural the book so that each patt of the eve
feakewith in a separate chapter The book starts with the
fjetids and progresscs shrough vo the fundus, with each
‘Sim clarly dnd succinctly explained and accompamsed by

coloe photos making this book invaluable os desk refer
fence for quick and casy dignases. We have also covered
‘bis and mtg separate donkey net

Furthermore, in rcengnition of the fact ubat opinthal
mologsts are expected to be more aware of the role of eye
disease in systemic conditions and alo ofthe ned basic
fof dikease aa whole, we have adel an appendix which dis-
‘cusses the ophibalaic eevance of uncommon systemic
disorders which have been mentioned inthe text

“The text iseoneise yet comprehensive and pictorial ious
sre used to help the reader quickly end easly navigate
through each section.

“This honk wil he usful tothe reside in training and
primary care physicians as well as to practising ophthal-
‘mologat,orthopusts and optometrists

Jack} Kanski
Ken K Nischal
We are extremely grateful to the following colleagues for
taking time and care to review the manuscript.

‘We also chank che fllowing colleagues and medical photo
raphe departments fo supplying us with ational mate
‘al withoue which this book could not have been writen,

1. Aclimandos (Figure 953), B, Bad (Figure 1.137), K
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5.23 551-83, $.60,5110,5.112, 5114, 5120-35, 5145,
5.174); Royal Eye Hospital, Manchester Figurcs 9.26,
TA, 1121, 11.50, 12.232, 12.235, 12.283), Royal Free
‘Hospital Pgures $113, 8.114, 921, 10.38, Royal Victoria
Infirmary, Newcastle (Figures 1.68, 1.98, 1.107, 1.135,
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12.141, 12.143, 12.145, 12.196), M. Sanders [Figures

86," 11.88, "1191, 1193), K ‘Sehmi, Medical
Mlustrations Department, Moorfields Eye Hospital
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12.312), A. Shun Shin (Pigures 1.62, 1 79,54, 89, 10.37)
‘Southampton General Hospital, Eye Department (Figures
115, 5147), M. Sereter (Figures 730, 7.39, 1.117-118,
12.89, 1296-101, 12.125), D. Taylor (Pigutes 2.12,
216-17, 231-32, 9.38-34, 9.55), D, Thomas (Figure
13.55), A. Tullo. (Figure (5.109), S._Vardy (Figures
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‘Wheateroft (Fignres 1.52, 159, 189, 3.50), J. Wright
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