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P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 MANUAL OF OCULAR DIAGNOSIS AND THERAPY SixthEdition i P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 ii P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 MANUAL OF OCULAR DIAGNOSIS AND THERAPY Sixth Edition Author/Editor Deborah Pavan-Langston, MD, FACS Harvard Medical School Massachusetts Eye and Ear Infirmary Schepens Eye Research Institute Boston, Massachusetts iii P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August9,2007 11:44 AcquisitionsEditor:JonathanPine ManagingEditor:JeanMcGough ProjectManager:RosanneHallowell ManufacturingManager:KathleenBrown MarketingManager:LisaParry DesignCoordinator:TerryMallon CoverDesigner:BeckyBaxendell ProductionServices:Aptara,Inc. SixthEdition (cid:2)c 2008byLippincottWilliams&Wilkins,aWoltersKluwerbusiness 530WalnutStreet Philadelphia,PA19106 LWW.com Fifthedition(cid:2)c 2002byLippincottWilliams&Wilkins.Fourthedition(cid:2)c 1995byLittle,Brown& Company.Thirdedition(cid:2)c 1991byLittle,Brown&Company.Secondedition(cid:2)c 1985byLittle, Brown&Company.Firstedition(cid:2)c 1980byLittle,BrownandCompany. Allrightsreserved.Thisbookisprotectedbycopyright.Nopartofthisbookmaybereproducedinany formorbyanymeans,includingphotocopying,orutilizingbyanyinformationstorageandretrieval systemwithoutwrittenpermissionfromthecopyrightowner,exceptforbriefquotationsembodiedin criticalarticlesandreviews. PrintedintheUSA LibraryofCongressCataloging-in-PublicationData Langston,DeborahP.(DeborahPavan),1940– Manualofoculardiagnosisandtherapy/author/editor,DeborahPavan-Langston.—6thed. p.;cm. Rev.ed.of:Manualofoculardiagnosisandtherapy/editor,DeborahPavan-Langston.5thed.c2002. Includesbibliographicalreferencesandindex. ISBN978-0-7817-6512-1(pbk.:alk.paper) 1.Ophthalmology—Handbooks,manuals,etc. 2.Eye—Diseases—Handbooks,manuals,etc. I.Manualofoculardiagnosisandtherapy. II.Title. [DNLM:1.EyeDiseases—diagnosis—Outlines. 2.EyeDiseases—therapy—Outlines. WW 18.2L285m2008] RE48.9.M362008 617.7—dc22 2007028191 Carehasbeentakentoconfirmtheaccuracyoftheinformationpresentedandtodescribegenerally acceptedpractices.However,theauthors,editors,andpublisherarenotresponsibleforerrorsor omissionsorforanyconsequencesfromapplicationoftheinformationinthisbookandmakeno warranty,expressedorimplied,withrespecttothecurrency,completeness,oraccuracyofthecontents ofthepublication.Applicationofthisinformationinaparticularsituationremainstheprofessional responsibilityofthepractitioner. Theauthors,editors,andpublisherhaveexertedeveryefforttoensurethatdrugselectionand dosagesetforthinthistextareinaccordancewithcurrentrecommendationsandpracticeatthetimeof publication.However,inviewofongoingresearch,changesingovernmentregulations,andthe constantflowofinformationrelatingtodrugtherapyanddrugreactions,thereaderisurgedtocheck thepackageinsertforeachdrugforanychangeinindicationsanddosageandforaddedwarningsand precautions.Thisisparticularlyimportantwhentherecommendedagentisaneworinfrequently employeddrug. SomedrugsandmedicaldevicespresentedinthispublicationhaveFoodandDrugAdministration (FDA)clearanceforlimiteduseinrestrictedresearchsettings.Itistheresponsibilityofhealthcare providerstoascertaintheFDAstatusofeachdrugordeviceplannedforuseintheirclinicalpractice. Thepublishershavemadeeveryefforttotracecopyrightholdersforborrowedmaterial.Ifthey haveinadvertentlyoverlookedany,theywillbepleasedtomakethenecessaryarrangementsatthefirst opportunity. Topurchaseadditionalcopiesofthisbook,callourcustomerservicedepartmentat(800) 638-3030orfaxordersto(301)223-2320.Internationalcustomersshouldcall(301)223-2300. VisitLippincottWilliams&WilkinsontheInternet:atLWW.com.LippincottWilliams& Wilkinscustomerservicerepresentativesareavailablefrom8:30amto6:00pm,EST. 10 9 8 7 6 5 4 3 2 1 iv P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 Tomydaughter,WyndhamReedLangston, lightofmylifeandsourceofinfinitejoy v P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 vi P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 CONTENTS ContributingAuthors....................................................... ix Preface...................................................................... xi Acknowledgments........................................................ xiii 1 OcularExaminationTechniquesandDiagnosticTests.................... 1 PedramHamrahandDeborahPavan-Langston 2 BurnsandTrauma......................................................... 36 DeborahPavan-LangstonandPedramHamrah 3 EyelidsandLacrimalSystem............................................. 52 PeterA.D.Rubin 4 OrbitalDisorders.......................................................... 62 PeterA.D.Rubin 5 CorneaandExternalDisease............................................. 73 KathrynColbyandDeborahPavan-Langston 6 RefractiveSurgery....................................................... 139 DimitriT.Azar 7 TheCrystallineLensandCataract....................................... 152 DimitriT.AzarandJoseJ.delaCruzNapoli 8 RetinaandVitreous...................................................... 176 PeterReedPavan,AndrewBurrows,andDeborahPavan-Langston 9 UvealTract:Iris,CiliaryBody,andChoroid.............................. 206 DeborahPavan-Langston,AnatGalor,andVictorL.Perez 10 Glaucoma................................................................ 259 DeborahPavan-Langston,StaceyC.Brauner,andCynthiaL.Grosskreutz 11 PediatricOphthalmology................................................ 293 GenaHeidaryandMelanieKazlas 12 ExtraocularMuscles,Strabismus,andNystagmus...................... 337 DeborahPavan-LangstonandNathalieAzar 13 Neuro-ophthalmology:VisualFields,OpticNerve,andPupil........... 368 ShirleyH.Wray 14 RefractiveError,ClinicalOptics,andContactLenses.................. 398 JillE.BeyerandDeborahPavan-Langston vii P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 viii Contents 15 OcularManifestationsofSystemicDisease............................. 428 DeborahPavan-Langston 16 OcularToxicityofSystemicDrugs....................................... 453 DeborahPavan-Langston Appendices A FormularyandCommonDosagesofTopicalandSystemicOphthalmic Drugs..................................................................... 482 DeborahPavan-Langston B SystemicAntimicrobialDrugsUsedinOcularInfections .............. 488 Index..................................................................... 497 P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 CONTRIBUTING AUTHORS DimitriT.Azar,MD KathrynColby,MD,PhD ChairofOphthalmicResearch AssistantProfessor ProfessorandHead DepartmentofOphthalmology OphthalmologyandVisualSciences HarvardMedicalSchool UniversityofIllinoisatChicago AttendingSurgeon,CorneaService Chicago,Illinois MassachusettsEyeandEarInfirmary DepartmentHead Director OphthalmologyandVisualSciences JointClinicalResearchCenter IllinoisEyeandEarInfirmary MassachusettsEyeandEarInfirmary Chicago,Illinois andSchepensEyeResearchInstitute Boston,Massachusetts NathalieAzar,MD JoseJ.delaCruzNapoli,MD VisitingAssociateProfessorofClinical AssistantProfessorofOphthalmology Ophthalmology DirectorofComprehensiveOphthalmology DepartmentofOphthalmologyand Services VisualSciences AttendingSurgeonofCornea,External UniversityofIllinoisatChicago DiseasesandRefractiveSurgery Director,PediatricOphthalmologyand Services AdultStrabismus UniversityofIllinoisEyeandEarInfirmary DepartmentofOphthalmology Chicago,Illinois andVisualSciences UniversityofIllinoisHospital AnatGalor Chicago,Illinois UveitisFellow WilmerEyeInstitute JillBeyer,OD JohnsHopkinsUniversity AdjunctProfessorofOptometry Baltimore,Maryland TheNewEnglandCollegeofOptometry Boston,Massachusetts CynthiaL.Grosskreutz,MD,PhD Director AssistantProfessorofOphthalmology ContactLensService Co-director MassachusettsEyeandEarInfirmary GlaucomaService Boston,Massachusetts AssociateSurgeon MassachusettsEyeandEarInfirmary StaceyC.Brauner,MD Boston,Massachusetts AssistantinOphthalmology GlaucomaConsultationService PedramHamrah MassachusettsEye&EarInfirmary ClinicalFellow HarvardMedicalSchool Ophthalmology Boston,Massachusetts HarvardMedicalSchool Boston,Massachusetts AndrewBurrows,MD,PhD Fellow GenaHeidary,MD,PhD VitreoretinalSurgery ResidentinOphthalmology Ophthalmology MassachusettsEyeandEarInfirmary UniversityofSouthFlorida HarvardMedicalSchool Tampa,Florida Boston,Massachusetts ix P1:OSO/OVY P2:OSO/OVY QC:OSO/OVY T1:OSO GRBT234-FM GRBT234-Pav-Lang-v7.cls Printer:RRDonnelley August6,2007 11:36 x ContributingAuthors MelanieKazlas,MD VictorL.Perez,MD Instructor AssistantProfessorofOphthalmology Ophthalmology UniversityofMiamiMillerSchool HarvardMedicalSchool ofMedicine Boston,Massachusetts BascomPalmerEyeInstitute ActingDirector Miami,Florida PediatricOphthalmology&Strabismus MassachusettsEyeandEarInfirmary PeterA.D.Rubin,MD Boston,Massachusetts AssociateProfessorofOphthalmology HarvardMedicalSchool PeterReedPavan,MD AssociateSurgeon ProfessorandChairman Director DepartmentofOphthalmology EyePlasticsandOrbitalSurgery UniversityofSouthFloridaCollege MassachusettsEyeand ofMedicine EarInfirmary Tampa,Florida Boston,Massachusetts DeborahPavan-Langston,MD,FACS AssociateProfessorofOphthalmology ShirleyH.Wray,MD,PhD HarvardMedicalSchool ProfessorofNeurology Surgeon HarvardMedicalSchool DirectorofClinicalVirology Director MassachusettsEyeandEarInfirmary NeurovisualSciences ClinicalResearchConsultant MassachusettsGeneral SchepensEyeResearchInstitute Hospital Boston,Massachusetts Boston,Massachusetts

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Manual of Ocular Diagnosis and Therapy PDF

564 Pages·2007·3.648 MB·English
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Author:Deborah Pavan-Langston
Publication Year:2007
ISBN:9780781765121
Pages:564
Language:English
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