Table Of Content
Oxford American Handbook of
Ophthalmology
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Oxford American
Handbook of
Ophthalmology
Edited by
James C. Tsai, MD, MBA
Robert R. Young Professor and Chairman
Department of Ophthalmology and Visual Science
Yale University School of Medicine
Chief of Ophthalmology,
Yale-New Haven Hospital
New Haven, Connecticut
Alastair K.O. Denniston, MA,
MRCP, MRCOphth
Clinical Lecturer in Ophthalmology
University of Birmingham, UK
Philip I. Murray, PhD, FRCP,
FRCS, FRCOphth
Professor of Ophthalmology
University of Birmingham, UK
John J. Huang, MD
Associate Professor of Ophthalmology and Visual Science
Director of Clinical Trials and Translational Research,
Yale Eye Center
Director of Uveitis and Ocular Immunology
Yale University School of Medicine
New Haven, Connecticut
Tamir S. Aldad, BA
Predoctoral Research Fellow
Yale University School of Medicine
New Haven, Connecticut
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Copyright © 2011 by Oxford University Press, Inc.
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First published 2011
All rights reserved. No part of this publication may be reproduced,
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Library of Congress Cataloging in Publication Data
Oxford American handbook of ophthalmology / edited by James C. Tsai … [et al.].
p. ; cm.
Other title: Handbook of ophthalmology
Includes index.
ISBN 978-0-19-539344-6
1. Ophthalmology—Handbooks, manuals, etc. I. Tsai, James C. II. Title:
Handbook of ophthalmology.
[DNLM: 1. Eye Diseases—Handbooks. WW 39]
RE48.9.O94 2011
617.7—dc22
2010028006
9 8 7 6 5 4 3 2 1
Printed in China
on acid-free paper
This material is not intended to be, and should not be considered, a sub-
stitute for medical or other professional advice. Treatment for the con-
ditions described in this material is highly dependent on the individual
circumstances. And, while this material is designed to offer accurate infor-
mation with respect to the subject matter covered and to be current as
of the time it was written, research and knowledge about medical and
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vii
PPrreeffaaccee and
Acknowledgments
In this American edition of the popular Oxford Handbook of Ophthalmology,
the editors have attempted to retain the essence of the original hand-
book while incorporating recent advances, current practice patterns, and
state-of-the-art concepts in the wide-ranging fi eld of ophthalmic disease.
In doing so, we hope that this Handbook provides the eye care provider
with timely information that is readily accessible and easy to incorporate
into the everyday management of patients. As a rapid reference guide
for practicing clinicians, trainees, students, and other ancillary health care
professionals, the Oxford American Handbook of Ophthalmology greatly
benefi ts from the expertise of accomplished clinicians in the various sub-
specialties in ophthalmology.
The editors of the Oxford American Handbook of Ophthalmology would
like to express our deepest gratitude to the contributing chapter authors,
all of whom are exceptional faculty members practicing in the Department
of Ophthalmology and Visual Science at the Yale University School of
Medicine. We also acknowledge and appreciate the advice and technical
support of Andrea Seils and Staci Hou at Oxford University Press in New
York, as well as Angela Luck for her anatomical illustrations. We are
indebted to our mentors, colleagues, students, and patients for helping
to shape and enhance our clinical and scholarly endeavors. We wish to
thank Alastair Denniston and Philip Murray, the authors of the original UK
edition of the Oxford Handbook of Ophthalmology, and acknowledge the
extraordinary work they did. Finally, we wish to thank our families and
friends for their incredible support and encouragement throughout the
entire editorial process.
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ix
Contents
Contributors xi
Symbols and abbreviations xiii
Orthoptic abbreviations xxiii
1 Clinical skills 1
2 Diagnostic tests and their interpretation 47
3 Trauma 79
4 Lids 103
5 Lacrimal 127
6 Conjunctiva 135
7 Cornea 159
8 Sclera 217
9 Lens 227
10 Glaucoma 261
11 Uveitis 313
12 Vitreoretinal 373
13 Medical retina 405
14 Orbit 469
15 Intraocular tumors 493
16 Neuro-ophthalmology 513
17 Strabismus 571
18 Pediatric ophthalmology 599
19 Aids to diagnosis 647
20 Vision in context 677
