By Roger L. Coakes and Patrick J. Holmes Sellors (Auth.)

ISBN-10: 072360794X

ISBN-13: 9780723607946

This version has been revised and up-to-date and is in color and in a brand new structure. The booklet nonetheless permits the coed or training health care professional to deal with daily ophthalmic difficulties, in addition to spotting these medical events which require professional awareness. It presents a concise account of contemporary ophthalmology. uncomplicated anatomy and body structure are coated in addition to the illnesses of the attention, defined symptom by way of symptom instead of via the standard systematic strategy. the attention in systemic affliction, ophthalmic investigations and therapy, and customary misconceptions also are mentioned. All illustrations seem at once contrary the appropriate textual content

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VERNAL A recurrent seasonal conjunctivitis with distinctive marked papillary proliferation of the upper tarsal conjunctiva. The eyes are chronically inflamed with stringy mucoid discharge. There is a frequent association with eczema and asthma. Management 1. ATOPIC Antihistamine drops and tablets. Identification of the antigen followed by desensitization is occasionally helpful. Papillary hypertrophy in vernal conjunctivitis. 52 An outline of ophthalmology 2. CONTACT Identification and removal of the irritant.

Episcleritis The loose connective tissue between conjunctiva and sclera has a rich vascular supply. The episclera diminishes posterior to the insertion of the rectus muscles and episcleritis is therefore anteriorly located. Clinical features Episcleritis is unilateral and frequently recurrent. It occurs more commonly in women and has a peak incidence between the ages of 30 and 40. The onset is sudden with intense redness, usually confined to one quadrant of the eye. A tender nodule may be present at the centre of the inflamed area and the patient complains of a pricking discomfort.

The outflow of aqueous from the anterior chamber of the eye is impaired by an alteration in the function of the trabecular meshwork which overlies the canal of Schlemm. The cause is unknown but there is a familial tendency. Management Progressive visual field loss can be prevented by lowering the intraocular pressure to within the normal range. This can be achieved by: 7. Medical treatment using one or more of the following drugs: a. Pilocarpine drops 1-4% which act through the ciliary muscle to open the drainage channels.

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An Outline of Ophthalmology by Roger L. Coakes and Patrick J. Holmes Sellors (Auth.)

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