Case Reviews in Ophthalmology - download pdf or read online

By Neil J. Friedman MD, Peter K. Kaiser MD

ISBN-10: 1437726135

ISBN-13: 9781437726138

Seasoned Elsevier authors Neil J. Friedman and Peter okay. Kaiser assist you get the very best leads to your tests with Case reports in Ophthalmology. This clinical reference’s case-based process promises simply the perform you want to investigate, toughen, and develop your mastery of each crucial inspiration in ophthalmology for scientific rounds, oral forums or recertification.

  • Review key info on each element of ophthalmology: optics/refraction; neuro-ophthalmology/orbit; pediatrics/strabismus; exterior disease/adnexa; anterior phase; and posterior segment.
  • Learn from the specialists with contributions from an all-star duo of professional authors.
  • Enhance your basic wisdom in ophthalmology and strengthen studying ambitions utilizing a hundred illustrated cases.
  • Access the full contents on-line at www.expertconsult.com.

The case-based source you must arrange for the yankee Board of Ophthalmology oral exam

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These include distance and near, monocular and binocular, varying the test distance, fogging, red–green glasses with duochrome test or Worth 4 dot test, prism dissociation, stereopsis, startle reflex, proprioception, name signing, mirror tracking, and optokinetic nystagmus response. Visual fields may show unusual patterns such as tunnel vision, spiraling fields, and crossing isopters. Finally, in difficult cases electrophysiologic testing, optical coherence tomography (OCT), fluorescein angiography, or neuroimaging may be necessary.

44 NEURO-OPHTHALMOLOGY/ORBIT CASE 23 A 64-year-old man presents to the emergency room (ER) with left-sided facial pain, swollen eyelid, and double vision. He is a low myope with no significant past ocular history. His visual acuity is 20/40 OD and 20/60 OS without correction and extraocular motility in the left eye is restricted in all positions of gaze. 1. What is the differential diagnosis? 2. What other exam findings might be present? 3. How would you work up this patient? Additional information: the patient’s visual acuity with correction is 20/20 OU, there is no RAPD or efferent defect, but he does have anisocoria with a miotic left pupil.

3. Dry eye is treated with lubrication, patching / taping / goggles at bedtime, punctal occlusion, and sometimes with tarsorrhaphy. Extreme proptosis causing severe keratopathy or optic nerve compression is treated with orbital decompression. Diplopia can be treated with prism glasses and eventually surgery (rectus recessions when the strabismus is stable for at least 6 months). Steroids and sometimes radiation are used to reduce muscle enlargement. Surgery is performed in a stepwise fashion with orbital decompression first, then strabismus surgery, and finally lid surgery (eyelid recession).

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Case Reviews in Ophthalmology by Neil J. Friedman MD, Peter K. Kaiser MD


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