Moorfields Manual of Ophthalmology

All the information you need is provided in this comprehensive, clinical yet concise and practical handbook. Inside you will find up-to-date "tutorial style" information on commonly performed examination skills and interpretation of investigations. Key information is given at a glance, ideal for the busy practitioner or as a revision aid for the trainee. Well-organized, clear and concise text accompanies full colour clinical photographs. The book is unique in that it provides explicit details on the day-to-day management of eye conditions; the reader is expertly guided though both the diagnosis and management of disease conditions. Each chapter also contains guidelines written exclusively for the general practitioner and primary care provider. Optometrists will also find this to be an indispensable guide, as pathologies found in every day practice will be included, enabling the practitioner to give patients qualified information about their symptoms.

Reviews
"A new handbook which skillfully provides for both ophthalmologist and optometrist."(Optician, January 2008)

Key Features

In depth sections on clinical examination skills essential for clinical practice and professional examinations
A purely practical ophthalmology guide
The use of images where these are appropriate, rather than for all conditions or none
A book written by a staff in their area of subspecialty interest, rather than a few authors attempting to cover a wide range of subjects
Tutorials style information on the commonly performed investigations and procedures
Specific notes for primary care staff, in particular opticians

Contents
List of Contributors
Preface
Acknowledgements

CHAPTER 1: OCULOPLASTICS
Eyelid anatomy

History
Examination
Ectropion
Floppy eyelid syndrome
Lower lid entropion
Upper lid entropion
Trichiasis
Distichiasis
Facial nerve palsy
Ptosis
Chalazion
Necrotizing fasciitis
Benign lid lesions
Neoplastic lid lesions
Congenital eyelid diseaes
Eyelid trauma
Optometry and general practice guidelines

CHAPTER 2: LACRIMAL
The watering eye
Congenital nasolacrimal duct obstruction
Canaliculitis
Acute dacryocystitis (lacrimal sac abscess)
Optometry and general practice guidelines

CHAPTER 3: ORBITAL
Anatomy
History and Examination
Investigations
Congenital disorders
Thyroid eye disease
Cellulitis
Idiopathic orbital inflammatory disease
Dacryoadenitis
Orbital myositis
Superior orbital fissure syndrome (Tolosa-Hunt syndrome)
Orbital vascular lesions
Orbital lymphoproliferative disorders
Lacrimal gland tumours
Rhabdomyosarcoma and other mesenchymal tumours
Orbital trauma
Eye socket disorders
Procedures

CHAPTER 4: EXTERNAL EYE DISEASE
History and examination
Anterior blepharitis
Posterior blepharitis
Ocular rosacea
Bacterial conjunctivitis
Adenoviral keratoconjunctivitis
Chlamydial conjunctivitis
Allergic conjunctivitis
Stevens-Johnson syndrome (Erythema Multiforme)
Ocular mucous membrane pemphigoid
Subconjunctival haemorrage
Superior limbic keratoconjunctivitis
Pingueculum
Oncocytoma (oxyphilic adenoma)
Kawasaki disease
Oculoglandular syndrome
Chemical injury
Optometry and general practice guidelines

CHAPTER 5: CORNEA
Anatomy
History and examination
Investigations
Corneal abrasions and foreign bodies
Recurrent corneal erosion
Persistent epithelial defects
Dry eye (keratoconjunctivitis sicca)
Keratoconus
Contact lenses
Peripheral corneal thinning
Phlyctenulosis
Marginal keratitis
Bacterial keratitis
Fungal keratitis
Acanthamoeba keratitis
Herpes simplex keratitis
Herpes zoster ophthalmicus (ophthalmic shingles)
Thygeson keratitis
Corneal dystrophies
Pterygium
Band keratopathy
Corneal degenerations and deposits
Corneal graft rejection
Anterior segment trauma
Laser refractive surgery
Applying corneal glue
Optometry and general practice guidelines

CHAPTER 6: PHAKOEMULSIFICATION CATARACT SURGERY
Pre-operative assessment
Biometry
Management of astigmatism
Local anaesthesia
Basic surgical techniques
Difficult Cases
Intraoperative complications
Postoperative complications
Optometry and General Practice guidelines

CHAPTER 7: GLAUCOMA
Pharmacology of IOP lowering drugs
History
Optic disc examination
Gonioscopy
Intaocular pressure (IOP)
Interpreting Humphrey Visual Field Tests
Primary open angle glaucoma
Trabeculectomy I: surgical technique
Trabeculectomy II: postoperative care
Argon laser trabeculoplasty
Trans-scleral cyclodiode laser treatment
Glaucoma drainage implants
Normal tension glaucoma
Pseudoexfoliation syndrome
Pigment dispersion syndrome
Neovascular glaucoma
Uveitic glaucoma
Steroid pressure response and associated glaucoma
Phakolytic and phakomorphic glaucoma
Traumatic glaucoma
Glaucoma following vitreoretinal surgery
Aqueous misdirection
Congential glaucoma
Emergency protocols Bleb related infection
Primary angle-closure
Optometry and general practice guidelines

CHAPTER 8: UVEITIS
History and examination
Acute Anterior Uveitis
Chronic anterior uveitis
Intermediate Uveitis
Posterior uveitis
Sarcoidosis
Tuberculosis
Behcet disease
Vogt-Koyanagi-Harada syndrome
Sympathetic ophthalmia
Presumed ocular histoplasmosis syndrome (POHS)
Multifocal choroiditis and panuveitis
Punctate inner choroidopathy (PIC)
Acute posterior multifocal placoid pigment epitheliopathy (APMPPE)
Birdshot chorioretinopathy
Multiple evanescent white dot syndrome (MEWDS)
Serpiginous (geographic) choroidopathy
Toxoplasmosis
Acute retinal necrosis
Cytomegalovirus (CMV) retinitis
Masquerade syndromes
Uveitis in children
Uveitis in pregnancy
Uveitis in immunosuppressed
HIV
Episcleritis
Scleritis
Endophthalmitis
Optometry and general practice guidelines

CHAPTER 9: OCULAR ONCOLOGY
Conjunctival tumours
Iris melanoma
Differential diagnosis of fundus tumours
Choroidal melanoma
Retinoblastoma

CHAPTER 10: MEDICAL RETINA
Taking a family history for inherited disease
Fluorescein angiography
Indocyanine green angiography
Autoflourescence imaging
Electrophysiology
Retinal laser guidelines
Differential Diagnoses
AMD
Indiopathic choroidal polypoidal vasculopathy
Diabetes
Central retinal vein occlusion
Branch retinal vein occlusion
Central retinal artery occlusion
Branch retinal artery occlusion
Hypertensive retinopathy
Macroaneurysm
Ocular ischaemia syndrome
Juxtafoveal telangiectasia
Sickle cell retinopathy
Eales disease
Pseudophakic macular oedema (Irvine-Gass syndrome)
Central serous retinopathy (CSR)
Retinitis pigmentosa
Gyrate atrophy
Cone dystrophy
Choroideraemia
Best disease
Pattern dystrophy
Stargardt Disease
North Carolina macular dystrophy
Albinism
Syphilis
Toxic retinopathy
Optometry and general practice guidelines

CHAPTER 11: SURGICAL RETINA
Indirect ophthalmoscopy
Posterior vitreous detachment
Retinal degenerations and tears
Rhegmatogenous retinal detachment
Diabetic vitreoretinal surgery
Diabetic vitreoretinal surgery
Epiretinal membrane
Vitreomacular traction syndrome
Macular hole
Vitreous haemorrhage
Uveal efffusion syndrome
Hereditary vitreoretinal degenerations
Posterior segment trauma
Optometry and general practice guidelines

CHAPTER 12: PAEDIATRICS
History and examination
Prescribing spectacles
Leucocoria
Infantile cataract
Coats disease
Persistent hyperplastic primary vitreous
Toxocariasis
Retinopathy of prematurity (ROP)
Conjunctivitis of the newborn (Ophthalmia neonatorum)
Anterior segment dygenesis
Non-accidental injury
Reduced vision with an otherwise normal examination
Otometry and general practice guidelines

CHAPTER 13: STRABISMUS
Anatomy and Physiology
History and examination
Amblyopia
Esotropia
Exotropia
Microtropia
Accommodation and convergence disorders
Incomitant stabismus
Alphabet patterns
Duane syndrome
Brown syndrome
Thyroid eye disease
Third nerve palsy
Fourth nerve palsy
Sixth nerve palsy
Optometry and general practice guidelines

CHAPTER 14: NEURO-OPHTHALMOLOGY
History and examination
Investigations
Anisocoria
Transient visual loss
Nystagmus
Visual field defects
Optic disc swelling
Idiopathic intracranial hypertension
Headache
Migraine
Ischaemic optic neuropathy
Demyelinating (MS-associated) optic neuritis
Traumatic optic neuropathy
Compressive, infiltrative & inflammatory optic neuropathy
Nutritional and toxic optic neuropathy
Hereditary optic neuropathies
Radiation optic neuropathy
Optic nerve tumours
Cerebrovascular disease
Carotid cavernous fistula
Medically Unexplained Visual Loss
Systemic disease associations
Optometry and general practice guidelines

APPENDICES
I Cardiopulmonary resuscitation (CPR)
II Anaphylaxis
III Visual standards for driving
IV Sutures and needles
V Surgical instruments
VI Use of the operating microscope
VII Ophthalmic drug use in pregnancy
VIII Reading Test Types
IX Amsler chart
X Contact details


Author Information
By Timothy L. Jackson, MBChB, FRCOphth, PhD, Consultant Ophthalmic Surgeon, Honorary Senior Lecturer, Department of Ophthalmology, King's College Hospital, Denmark Hill, London, UK.