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Updated to include the newest drugs, procedures, and treatment protocols, the Fourth Edition of this best-selling manual is a reliable quick-reference guide for all clinicians who treat eye disorders. Every disorder encountered in the office, emergency room, or hospital is covered in concise outline format: symptoms, signs, etiology, differential diagnosis, work-up, treatment, and follow-up. This edition includes many new radiologic studies, laboratory tests, diagnostic methods, surgical techniques, and medications introduced in the past five years.

The Wills Eye Manual, Fourth Edition is also available electronically for PDAs. See PDA listing for details.

Tabla de contenidos provista por Syndetics

• Consultants(p. ix)
• Contributors(p. xi)
• Foreword(p. xiii)
• Preface(p. xv)
• Preface to the First Edition(p. xvii)
• Chapter 1 Differential Diagnosis of Ocular Symptoms(p. 1)
• Chapter 2 Differential Diagnosis of Ocular Signs(p. 6)
• Chapter 3 Trauma(p. 14)
• 3.1 Chemical Burn(p. 14)
• 3.2 Corneal Abrasion(p. 17)
• 3.3 Corneal and Conjunctival Foreign Bodies(p. 18)
• 3.4 Hyphema and Microhyphema(p. 19)
• 3.5 Traumatic Iritis(p. 23)
• 3.6 Conjunctival Laceration(p. 24)
• 3.7 Eyelid Laceration(p. 25)
• 3.8 Orbital Blow-Out Fracture(p. 28)
• 3.9 Traumatic Retrobulbar Hemorrhage(p. 29)
• 3.10 Intraorbital Foreign Body(p. 32)
• 3.11 Commotio Retinae(p. 33)
• 3.12 Traumatic Choroidal Rupture(p. 34)
• 3.13 Corneal Laceration(p. 35)
• 3.14 Ruptured Globe and Penetrating Ocular Injury(p. 35)
• 3.15 Intraocular Foreign Body(p. 37)
• 3.16 Traumatic Optic Neuropathy(p. 38)
• Chapter 4 Cornea(p. 40)
• 4.1 Superficial Punctate Keratitis(p. 40)
• 4.2 Recurrent Corneal Erosion(p. 42)
• 4.3 Dry-Eye Syndrome(p. 43)
• 4.4 Filamentary Keratopathy(p. 45)
• 4.5 Exposure Keratopathy(p. 46)
• 4.6 Neurotrophic Keratopathy(p. 47)
• 4.7 Thermal/Ultraviolet Keratopathy(p. 48)
• 4.8 Thygeson Superficial Punctate Keratopathy(p. 49)
• 4.9 Pterygium/Pinguecula(p. 50)
• 4.10 Band Keratopathy(p. 51)
• 4.11 Bacterial Keratitis(p. 52)
• 4.12 Fungal Keratitis(p. 57)
• 4.13 Acanthamoeba(p. 58)
• 4.14 Herpes Simplex Virus(p. 59)
• 4.15 Herpes Zoster Virus(p. 63)
• 4.16 Interstitial Keratitis(p. 66)
• 4.17 Staphylococcal Hypersensitivity(p. 67)
• 4.18 Phylctenulosis(p. 68)
• 4.19 Contact Lens-Related Problems(p. 69)
• 4.20 Contact Lens-Induced Giant Papillary Conjunctivitis(p. 73)
• 4.21 Peripheral Corneal Thinning/Ulceration(p. 74)
• 4.22 Dellen(p. 77)
• 4.23 Keratoconus(p. 78)
• 4.24 Corneal Dystrophies(p. 79)
• 4.25 Fuchs Endothelial Dystrophy(p. 80)
• 4.26 Aphakic Bullous Keratopathy/Pseudophakic Bullous Keratopathy(p. 81)
• 4.27 Corneal Graft Rejection(p. 82)
• 4.28 Refractive Surgery Complications(p. 83)
• 4.29 Ocular Vaccinia(p. 86)
• Chapter 5 Conjunctiva/Sclera/Iris/External Disease(p. 89)
• 5.1 Acute Conjunctivitis(p. 89)
• 5.2 Chronic Conjunctivitis(p. 94)
• 5.3 Parinaud Oculoglandular Conjunctivitis(p. 96)
• 5.4 Superior Limbic Keratoconjunctivitis(p. 97)
• 5.5 Subconjunctival Hemorrhage(p. 98)
• 5.6 Episcleritis(p. 99)
• 5.7 Scleritis(p. 100)
• 5.8 Blepharitis/Meibomianitis(p. 102)
• 5.9 Ocular Rosacea(p. 103)
• 5.10 Ocular Cicatricial Pemphigoid(p. 104)
• 5.11 Contact Dermatitis(p. 106)
• 5.12 Conjunctival Tumors(p. 106)
• 5.13 Malignant Melanoma of the Iris(p. 109)
• Chapter 6 Eyelid(p. 111)
• 6.1 Chalazion/Hordeolum(p. 111)
• 6.2 Ectropion(p. 112)
• 6.3 Entropion(p. 113)
• 6.4 Trichiasis(p. 113)
• 6.5 Floppy Eyelid Syndrome(p. 114)
• 6.6 Blepharospasm(p. 115)
• 6.7 Canaliculitis(p. 116)
• 6.8 Dacryocystitis (Inflammation of the Lacrimal Sac)(p. 117)
• 6.9 Acute Infectious Dacryoadenitis (Infection of the Lacrimal Gland)(p. 119)
• 6.10 Preseptal Cellulitis(p. 121)
• 6.11 Malignant Tumors of the Eyelid(p. 124)
• Chapter 7 Orbit(p. 126)
• 7.1 Orbital Disease(p. 126)
• 7.2 Thyroid-Related Orbitopathy (Graves Disease)(p. 128)
• 7.3 Orbital Inflammatory Pseudotumor (Nonspecific Orbital Inflammatory Disease)(p. 130)
• 7.4 Orbital Cellulitis(p. 131)
• 7.5 Orbital Tumors in Children(p. 133)
• 7.6 Orbital Tumors in Adults(p. 136)
• 7.7 Lacrimal Gland Mass/Chronic Dacryoadenitis(p. 139)
• Chapter 8 Pediatrics(p. 141)
• 8.1 Leukocoria(p. 141)
• 8.2 Retinopathy of Prematurity(p. 143)
• 8.3 Esodeviations in Children(p. 144)
• 8.4 Exodeviations in Children(p. 147)
• 8.5 Strabismus Syndromes(p. 148)
• 8.6 Amblyopia(p. 149)
• 8.7 Congenital Cataract(p. 150)
• 8.8 Congenital Syphilis(p. 152)
• 8.9 Ophthalmia Neonatorum (Newborn Conjunctivitis)(p. 154)
• 8.10 Congenital Nasolacrimal Duct Obstruction(p. 156)
• 8.11 Congenital Glaucoma(p. 157)
• 8.12 Developmental Anterior Segment and Lens Anomalies(p. 159)
• 8.13 Congenital Ptosis(p. 160)
• 8.14 The Blind Infant(p. 161)
• Chapter 9 Glaucoma(p. 164)
• 9.1 Primary Open-Angle Glaucoma(p. 164)
• 9.2 Ocular Hypertension(p. 169)
• 9.3 Angle-Recession Glaucoma(p. 170)
• 9.4 Inflammatory Open-Angle Glaucoma(p. 171)
• 9.5 Steroid-Response Glaucoma(p. 173)
• 9.6 Pigment Dispersion/Pigmentary Glaucoma(p. 174)
• 9.7 Exfoliative Glaucoma (Pseudoexfoliation Glaucoma)(p. 176)
• 9.8 Phacolytic Glaucoma(p. 177)
• 9.9 Lens-Particle Glaucoma(p. 178)
• 9.10 Acute Angle-Closure Glaucoma(p. 179)
• 9.11 Chronic Angle-Closure Glaucoma(p. 183)
• 9.12 Plateau Iris(p. 184)
• 9.13 Glaucomatocyclitic Crisis (Posner-Schlossman Syndrome)(p. 186)
• 9.14 Neovascular Glaucoma(p. 187)
• 9.15 Iridocorneal Endothelial Syndrome(p. 189)
• 9.16 Postoperative Glaucoma(p. 190)
• 9.17 Malignant Glaucoma (Aqueous Misdirection Syndrome)(p. 193)
• 9.18 Postoperative Complications of Glaucoma Surgery(p. 195)
• 9.19 Blebitis(p. 196)
• Chapter 10 Neuro-Ophthalmology(p. 198)
• 10.1 Anisocoria(p. 198)
• 10.2 Horner Syndrome(p. 200)
• 10.3 Argyll Robertson Pupils(p. 202)
• 10.4 Adie Tonic Pupil(p. 203)
• 10.5 Isolated Third Nerve Palsy(p. 204)
• 10.6 Isolated Fourth Nerve Palsy(p. 206)
• 10.7 Isolated Sixth Nerve Palsy(p. 209)
• 10.8 Isolated Seventh Nerve Palsy(p. 210)
• 10.9 Cavernous Sinus and Associated Syndromes (Multiple Ocular Motor Nerve Palsies)(p. 213)
• 10.10 Myasthenia Gravis(p. 216)
• 10.11 Chronic Progressive External Ophthalmoplegia(p. 219)
• 10.12 Internuclear Ophthalmoplegia(p. 220)
• 10.13 Optic Neuritis(p. 221)
• 10.14 Papilledema(p. 223)
• 10.15 Pseudotumor Cerebri (Idiopathic Intracranial Hypertension)(p. 225)
• 10.16 Arteritic Ischemic Optic Neuropathy (Giant Cell Arteritis)(p. 227)
• 10.17 Nonarteritic Ischemic Optic Neuropathy(p. 228)
• 10.18 Miscellaneous Optic Neuropathies(p. 229)
• 10.19 Nystagmus(p. 231)
• 10.20 Amaurosis Fugax(p. 234)
• 10.21 Vertebrobasilar Artery Insufficiency(p. 236)
• 10.22 Cortical Blindness(p. 237)
• 10.23 Nonphysiologic Visual Loss(p. 237)
• 10.24 Headache(p. 239)
• 10.25 Migraine(p. 241)
• 10.26 Cluster Headache(p. 244)
• Chapter 11 Retina(p. 246)
• 11.1 Posterior Vitreous Detachment(p. 246)
• 11.2 Retinal Break(p. 247)
• 11.3 Retinal Detachment(p. 249)
• 11.4 Retinoschisis(p. 251)
• 11.5 Central Retinal Artery Occlusion(p. 252)
• 11.6 Branch Retinal Artery Occlusion(p. 255)
• 11.7 Central Retinal Vein Occlusion(p. 256)
• 11.8 Branch Retinal Vein Occlusion(p. 258)
• 11.9 Hypertensive Retinopathy(p. 259)
• 11.10 Ocular Ischemic Syndrome (Carotid Occlusive Disease)(p. 260)
• 11.11 Central Serous Chorioretinopathy(p. 261)
• 11.12 Optic Pit(p. 262)
• 11.13 Nonexudative (Dry) Age-Related Macular Degeneration(p. 263)
• 11.14 Exudative (Wet) Age-Related Macular Degeneration(p. 264)
• 11.15 Ocular Histoplasmosis(p. 266)
• 11.16 High Myopia(p. 267)
• 11.17 Angioid Streaks(p. 269)
• 11.18 Cystoid Macular Edema(p. 270)
• 11.19 Macular Hole(p. 271)
• 11.20 Epiretinal Membrane (Macular Pucker, Surface-Wrinkling Retinopathy)(p. 273)
• 11.21 Choroidal Detachment(p. 274)
• 11.22 Vitreous Hemorrhage(p. 275)
• 11.23 Sickle Cell Disease (Including SC, Sickle Trait)(p. 277)
• 11.24 Retinitis Pigmentosa(p. 278)
• 11.25 Choroideremia(p. 281)
• 11.26 Gyrate Atrophy(p. 282)
• 11.27 Cone Dystrophies(p. 283)
• 11.28 Stargardt Disease (Fundus Flavimaculatus)(p. 284)
• 11.29 Best Disease (Vitelliform Macular Dystrophy)(p. 285)
• 11.30 Phenothiazine Toxicity(p. 286)
• 11.31 Chloroquine/Hydroxychloroquine Toxicity(p. 287)
• 11.32 Malignant Melanoma of the Choroid(p. 288)
• Chapter 12 Uveitis(p. 290)
• 12.1 Anterior Uveitis (Iritis/Iridocyclitis)(p. 290)
• 12.2 Pars Planitis/Intermediate Uveitis(p. 296)
• 12.3 Posterior Uveitis(p. 297)
• 12.4 Human Leukocyte Antigen (HLA)-B27-Associated Uveitis(p. 302)
• 12.5 Toxoplasmosis(p. 303)
• 12.6 Sarcoidosis(p. 305)
• 12.7 Behcet Disease(p. 307)
• 12.8 Acute Retinal Necrosis(p. 308)
• 12.9 Vogt-Koyanagi-Harada Syndrome(p. 310)
• 12.10 Postoperative Endophthalmitis(p. 312)
• 12.11 Chronic Postoperative Uveitis(p. 315)
• 12.12 Traumatic Endophthalmitis(p. 316)
• 12.13 Endogenous Bacterial Endophthalmitis(p. 317)
• 12.14 Candida Retinitis/Uveitis/Endophthalmitis(p. 319)
• 12.15 Sympathetic Ophthalmia(p. 320)
• Chapter 13 General Ophthalmic Problems(p. 322)
• 13.1 Acquired Cataract(p. 322)
• 13.2 Diabetes Mellitus(p. 324)
• 13.3 Pregnancy(p. 328)
• 13.4 Acquired Immunodeficiency Syndrome(p. 331)
• 13.5 Acquired Syphilis(p. 338)
• 13.6 Lyme Disease(p. 340)
• 13.7 Chicken Pox (Varicella-Zoster Virus)(p. 341)
• 13.8 Convergence Insufficiency(p. 342)
• 13.9 Accommodative Spasm(p. 343)
• 13.10 Stevens-Johnson Syndrome (Erythema Multiforme Major)(p. 344)
• 13.11 Vitamin A Deficiency(p. 345)
• 13.12 Albinism(p. 347)
• 13.13 Wilson Disease(p. 348)
• 13.14 Subluxed or Dislocated Lens(p. 349)
• 13.15 Hypotony Syndrome(p. 350)
• 13.16 Blind, Painful Eye(p. 352)
• 13.17 Neurofibromatosis (von Recklinghausen Syndrome)(p. 354)
• 13.18 Tuberous Sclerosis (Bourneville Syndrome)(p. 355)
• 13.19 Sturge-Weber Syndrome (Encephalofacial Cavernous Hemangiomatosis)(p. 356)
• 13.20 von Hippel-Lindau Syndrome (Retinocerebellar Capillary Hemangiomatosis)(p. 357)
• 13.21 Wyburn-Mason Syndrome (Racemose Hemangiomatosis)(p. 358)
• 13.22 Ataxia-Telangiectasia (Louis-Bar Syndrome)(p. 359)
• Chapter 14 General Radiology Studies in Ophthalmology(p. 360)
• 14.1 Computed Tomography Scan(p. 360)
• 14.2 Magnetic Resonance Imaging(p. 361)
• 14.3 Magnetic Resonance Angiography(p. 362)
• 14.4 Magnetic Resonance Venography(p. 363)
• 14.5 Ophthalmic Ultrasonography(p. 363)
• 14.6 Intravenous Fluorescein Angiography(p. 365)
• 14.7 Indocyanine Green Angiography(p. 365)
• 14.8 Nuclear Medicine(p. 366)
• 14.9 Plain Films(p. 366)
• 14.10 Cerebral Arteriography(p. 366)
• 14.11 Photographic Imaging Studies(p. 367)
• 14.12 Optical Coherence Tomography(p. 367)
• 14.13 Confocal Scanning Laser Ophthalmoscopy(p. 368)
• 14.14 Confocal Biomicroscopy(p. 368)
• 14.15 Dacryocystography(p. 368)
• 14.16 Corneal Topography(p. 369)
• Appendices(p. 370)
• 1 Dilating Drops(p. 370)
• 2 Cover/Uncover and Alternate Cover Tests(p. 371)
• 3 Amsler Grid(p. 373)
• 4 Seidel Test to Detect a Wound Leak(p. 375)
• 5 Forced-Duction Test and Active Force Generation Test(p. 376)
• 6 Technique for Diagnostic Probing and Irrigation of the Lacrimal System(p. 378)
• 7 Technique for Subtenon and Subconjunctival Injections(p. 380)
• 8 Vitreous Examination for Cells(p. 382)
• 9 Making Fortified Topical Antibiotics(p. 383)
• 10 Tetanus Prophylaxis(p. 384)
• 11 Angle Classification(p. 385)
• 12 Selected Ophthalmology Resources on the Internet(p. 389)
• Drug Glossary(p. 391)
• Part A List of Commonly Used Ophthalmic Medications(p. 391)
• Part B Contraindications and Side Effects(p. 395)
• General Glossary(p. 398)
• Subject Index(p. 403)