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Ill W i 11 s Ey e I n s t i t u t e
EDITORS
Mitchell S. Fineman, MD
Associate Professor of Ophthalmology
Thomas Jefferson University
Attending Surgeon
Wills Eye Institute
Philadelphia, Pennsylvania
Allen C. Ho, MD
Professor of Ophthalmology
Thomas Jefferson University
Attending Surgeon
Wills Eye Institute
Philadelphia, Pennsylvania
SECTION EDITORS
Gary C. Brown, MD
Franco M. Recchia, MD
Carl D. Regillo, MD
James F. Vander, MD
SERIES EDITOR
Christopher J. Rapuano, MD
Director and Attending Surgeon, Cornea Service
Co-Director, Refractive Surgery Department
Wills Eye Institute
Professor of Ophthalmology
Jefferson Medical College of Thomas Jefferson University
Philadelphia, Pennsylvania
Senior Executive Editor: Jonathan W. Pine, Jr.
Senior Product Managers: Emilie Moyer and Grace Caputo
Senior Manufacturing Coordinator: Benjamin Rivera
Marketing Manager: Lisa Lawrence
Creative Director: Doug Smock
Production Services: Aptara, Inc.
© 2012 by LIPPINC01T WILLIAMS & WILKINS, a Wolters Kluwer business
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Printed in China
Library ofC ongress Cataloging-in-Publication Data
Retina I editors, Mitchell S. Fineman, Allen C. Ho. - 2nd ed.
p. ; cm. - (Color atlas & synopsis of clinical
ophthalmology-Wills Eye Institute)
Includes bibliographical references and index.
ISBN 978-1-60913-336-8 (pbk.: alk. paper)
I. Fineman, Mitchell S. II. Ho, Allen C. III. Wills Eye Hospital
(Philadelphia, Pa.) IY. Series: Color atlas and synopsis of clinical
ophthalmology series.
[DNLM: 1. Retinal Diseases-Atlases. WW 17]
617.7'35-dc23
2011052818
Care has been taken to confirm the accuracy of the information presented and to describe generally ac
cepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or
for any consequences from application of the information in this book and make no warranty, expressed or
implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Applica
tion of the information in a particular situation remains the professional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage
set forth in this text are in accordance with current recommendations and practice at the time ofp ublica
tion. However, in view ofo ngoing research changes in government regulations, and the constant fl.ow of
1
information relating to drug therapy and drug reactions, the reader is urged to check the package insert
for each drug for any change in indications and dosage and for added warnings and precautions. This is
particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in the publication have Food and Drug Administration
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This edition is dedicated in memory of our colleague and mentor,
J. Arch McNamara (1955-2010), whose clinical skills and passion
for teaching will be missed by all who knew him, were inspired by
him, and had the pleasure of his friendship.
SERIES EDITOR SECTION EDITORS
Christopher J. Rapuano, MD Gary C. Brown, MD
Director and Attending Surgeon, Cornea Service Professor of Ophthalmology
Co-Director, Refractive Surgery Department Thomas Jefferson University
Wills Eye Institute Director, Retina Service
Professor of Ophthalmology Wills Eye Institute
Jefferson Medical College of Thomas Jefferson Philadelphia, Pennsylvania
University
Franco M. Recchia, MD
Philadelphia, Pennsylvania
Associate Professor of Ophthalmology and
Visual Sciences
EDITORS
Vanderbilt University School of Medicine
Mitchell S. Fineman, MD Nashville, Tennessee
Associate Professor of Ophthalmology
Carl D. Regillo, MD
Thomas Jefferson University
Professor of Ophthalmology
Attending Surgeon
Thomas Jefferson University
Wills Eye Institute
Director, Clinical Retina Research
Philadelphia, Pennsylvania
Wills Eye Institute
Allen C. Ho, MD Philadelphia, Pennsylvania
Professor of Ophthalmology
James F. Vander, MD
Thomas Jefferson University
Professor of Ophthalmology
Attending Surgeon
Thomas Jefferson University
Wills Eye Institute
Attending Surgeon
Philadelphia, Pennsylvania
Wills Eye Institute
Philadelphia, Pennsylvania
vi
Contributors
~----
J.
Luigi Borrillo, MD NikolasJ.S. London, MD
Northern California Retina Vitreous Associates Fellow, Vitreoretinal Surgery
Medical Group Wills Eye Institute
San Mateo, California Philadelphia, Pennsylvania
Richard S. Kaiser, MD Mitblesh C. Sharma, MD
Associate Professor of Ophthalmology Attending Vitreoretinal Surgeon
Thomas Jefferson University Kaiser Permanente Medical Group
Attending Surgeon Roseville, California
Wills Eye Institute
Philadelphia, Pennsylvania
vii
About the Series
T
he beauty of the atlas/synopsis concept volumes. The goal oft he series is to provide an
is the powerful combination of illustra up-to-date clinical overview oft he major areas
tive photographs and a summary approach of ophthalmology for students, residents, and
to the text. Ophthalmology is a very visual practitioners in all of the health care profes
discipline that lends itself nicely to clinical sions. The abundance of large, excellent qual
photographs. Although the seven ophthal ity photographs and concise, outline-form text
mic subspecialties in this series-Cornea, will help achieve that objective.
Retina, Glaucoma, Oculoplastics, Neuro
J.
Ophthalmology, Pediatrics, and Uveitis-use Christopher Rapuano, MD
varying levels ofv isual recognition, a relatively Series Editor
standard format for the text is used for all
viii
Description:Color Atlas And Synopsis Of Clinical Ophthalmology — Wills Eye Institute — Retina is part of a series developed by Philadelphia’s famed Wills Eye Institute.In this 2nd edition we’ve combined short, succinct text with over 400 illustrative photographs to provide the most comprehensive, yet ea
