The Ocular Fundus

From Findings to Diagnosis

By: Sebastian Wolf, Bernd Kirchhof, Martin Reim

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Hardcover | 5 October 2005

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Learn how to read the optic fundus:

What tests are indicated?
How do I interpret the findings?
What is the next step?

This book guides you quickly and confidently from finding to diagnosis.

Practice-oriented

Organized by presentation
Systematic listing of diagnoses for each presentation
Sidebars with a brief summary of the signs and symptoms for each diagnosis
Quick reference and study guide in one

Comprehensive

Describes various examination method
Covers even rare findings
Differential diagnosis
Figures to illustrate each diagnosis
Notes on appropriate treatment

Confidence

Learn to take prompt, goal-directed action.
Apply various diagnostic options appropriately and economically.
Gain confidence in dealing with equivocal findings.

Industry Reviews

A portrait gallery of ocular fundus conditions...superb fundus photographs...The photos are beautiful. There are iconic representatives from every important pathologic process in the fundus...Medical students will certainly love it, as will nonopthalmic physicians and opthalmic technicians and nurses...This is a best-in-show of fundus abnormalities...Libraries in teaching institutions will undoubtedly want to purchase it.--Journal of Neuro-OpthalmologySuccessfully adopts an interesting and helpful format...Produced with 309 illustrations, including excellent colored plates to Thieme's high standard...a wide range of methods is presented and this should be particularly helpful to students. ...The reader should appreciate the interplay between illustrations, concise and explanatory text and the emphasis provided in page-edge columns. The design is a pedagogic success.--OpticianThis book guides you quickly and confidently from finding to diagnosis. Practice-oriented and organized by presentation.--Wolf

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Non-Fiction Medicine Clinical & Internal Medicine Ophthalmology Medical Diagnosis

Introduction	p. 1
Examination Methods	p. 4
History	p. 4
Functional Tests	p. 4
Visual Acuity	p. 5
Visual Field	p. 5
Color Vision	p. 6
Contrast Sensitivity	p. 6
Ophthalmoscopy	p. 7
Direct Ophthalmoscopy	p. 7
Indirect Ophthalmoscopy	p. 7
High Refractive Power Lenses in Conjunction with the Slit Lamp	p. 7
Contact Optics with Deflecting Mirrors	p. 7
Special Considerations when Examining Infants and Newborns	p. 7
Objective Imaging Studies and Their Evaluation	p. 8
Fundus Photography	p. 8
Scanning Laser Ophthalmoscope	p. 8
Fluorescence Angiography	p. 11
Electrophysiological Studies	p. 14
Electro-oculography (EOG)	p. 14
Electroretinography (ERG)	p. 14
Visual Evoked Cortical Potentials (VECP)	p. 15
Ultrasound Studies	p. 18
A-Mode Ultrasonography	p. 18
B-Mode Ultrasonography	p. 18
Doppler Ultrasonography	p. 18
Color Doppler Imaging	p. 19
Ultrasound Biomicroscopy	p. 19
Biopsy	p. 19
Anterior Chamber	p. 19
Vitreous Body	p. 19
Tumors	p. 20
Appearance of Retinal and Choroidal Disorders	p. 21
Retinopathy with Focal or Mottled Lesions	p. 21
White Mottled Deposits	p. 21
Sharply Demarcated, Bright, and Pigmented Areas	p. 23
Blurred, Fluffy, White Focal Lesions	p. 26
Prominence of the Macula	p. 42
Secondary Macular Edema	p. 42
Macular Edema with Retinal Vascular Disease	p. 45
Macular Edema from Choroidal Neovascularization	p. 47
Choroidal Neovascularization of Other Causes	p. 54
Proliferation, Scarring, and Holes in the Macula	p. 55
Epiretinal Membranes (Macular Pucker)	p. 55
Idiopathic Macular Hole	p. 55
Choroidal Folds	p. 58
Depigmented and Pigmented Focal Lesions in the Macula	p. 59
Solar Retinopathy	p. 59
Injuries from Laser Beams and Autogenous Welding	p. 59
Pigmented Macular Scars Secondary to Contusion	p. 60
Maculopathy in Myopia	p. 61
Pattern Dystrophies	p. 61
Central Areolar Macular Atrophy	p. 62
Bull's Eye Dystrophy	p. 63
Macular Dystrophies with Mottled Lesions	p. 65
Vitelliform Macular Dystrophy (Best Disease)	p. 66
Sorsby Macular Dystrophy	p. 68
Stargardt Disease	p. 68
Large Areas of Yellowish-White Exudative Retinopathy	p. 71
Necrotizing Retinitis	p. 71
Serpiginous Choroiditis	p. 74
Vogt-Koyanagi-Harada. Syndrome	p. 75
Berlin Edema in the Fundus	p. 76
Ischemic Edema in Central Retinal Artery Occlusion	p. 76
Scattered Pigment Changes with Large Areas of Retinal and Choroidal Dystrophy	p. 79
Atrophic and Pigmented Areas	p. 80
Fields with Coarse Pigmentation and Depigmentation	p. 82
Large Areas of Progressive Retinal Degeneration in Both Eyes-Cancer-Associated Retinopathy (CAR)	p. 83
Significance of Rare Types of Retinal Degeneration and Dystrophy	p. 86
Fundi with Typical Pigmentations and Chorioretinal Atrophy-Tapetoretinal Degenerations	p. 86
Albinism	p. 96
Pediatric Retinal Dystrophies with Maculopathies	p. 98
Peripheral Retinal and Choroidal Lesions	p. 104
Pigmentation, Bright White-Yellow Spots and Cobblestone Degeneration	p. 104
Lattice Degeneration and Vitreous Adhesion	p. 105
Retinal Holes and Tears	p. 105
Pigmented Flecks and Fields at the Level of the Fundus	p. 106
Vitreoretinal Degeneration	p. 107
Retinal Detachments	p. 110
Broad Gray Bubblelike Bulging of the Retina	p. 110
Glassy, Transparent Retinal Detachments	p. 116
Choroidal Detachment	p. 117
Retinal Detachment due to Solid Protrusions	p. 118
Retinal Tumors	p. 123
White Tumors-Retinoblastoma	p. 123
"Mulberry" Tumors: Tuberous Sclerosis	p. 124
Vascular Tumors: Hemangiomas	p. 125
Brown Tumor in Coats Disease	p. 125
Appearance of Vascular Disorders	p. 127
Ophthalmoscopic Structure of Fundus Vessels	p. 127
Variants in the Course of the Retinal Vessels	p. 128
Cilioretinal Artery	p. 128
Atypical Branching of the Retinal Arterioles	p. 128
Retinal Vessels in Macular Aplasia	p. 128
Abnormal Vessels in the Retina	p. 128
Telangiectasia	p. 128
Multiple Leber Miliary Aneurysms	p. 129
Solitary Retinal Macroaneurysms	p. 129
Angiomatosis Retinae (Von Hippel-Lindau Disease)	p. 130
Rarefied and Elongated Vessels	p. 131
Wide and Irregular Reflexes on Retinal Arterioles in Arteriosclerosis	p. 131
Choroidal Sclerosis with Bright Vascular Bands and Thin Columns of Blood	p. 132
Thin Vessels, Minimal Microvasculature, and Pale Fundus in Ischemic Ophthalmopathy	p. 132
Thin Vessels, Pale Fundus, and Occasional Retinal Bleeding in Anemia	p. 132
Narrowed Arterioles and Congested-Veins	p. 133
Pathophysiology of the Retinal Vessels in Arterial Hypertension	p. 133
Changes in the Retinal Vessels in Arterial Hypertension	p. 133
Distinguishing Arteriosclerosis from Hypertension	p. 133
Hypertensive Fundus	p. 134
Bleeding, Cotton-Wool Spots, Hard Exudates, and Retinal Edema	p. 135
Hypertensive Retinopathy	p. 135
Classification of Fundus Changes in Arterial Hypertension	p. 136
Stenoses of the Arterioles, Cotton-Wool Spots, and Retinal Edema in Retinopathy in Pregnancy	p. 137
Purtscher Retinopathy (Traumatic Retinal Angiopathy)	p. 138
Capillary Aneurysms, Hard Exudates, Bleeding, and Neovascularization	p. 138
Nonproliferative Diabetic Retinopathy (NPDR)	p. 139
Proliferative Diabetic Retinopathy (PDR)	p. 141
Macular Edema in Diabetic Maculopathy	p. 143
Disorders Involving Primarily Retinal Bleeding	p. 145
Bleeding in the Region Drained by the Retinal Veins	p. 145
Cockade Hemorrhagic Lesions in Chronic Myelosis	p. 151
Bleeding between the Venules and Arterioles in Waldenstrom Macroglobulinemia	p. 152
Large Areas of Bleeding in Multiple Myelomas (Plasmacytoma)	p. 152
Engorged Blood Vessels in Polycythemia Vera	p. 152
Idiopathic Macular Bleeding-Macular Bleeding Following the Valsalva Maneuver	p. 152
Characteristic Fundus Findings in Hemoglobin Disorders	p. 153
Peripheral Neovascularization in the Retina	p. 155
Retinopathy of Prematurity (ROP)	p. 155
Peripheral Vascular Proliferation in Eales Disease	p. 160
Perivascular Infiltrates, Vascular Obliteration, and Retinal Bleeding in Inflammatory Vascular Disorders	p. 161
Peripheral Vascular Obliteration in Eales Disease	p. 161
Perivascular Infiltrates in Retinal Periphlebitis	p. 162
Inflammatory Infiltration in Specific Types of Retinal Vasculitis	p. 163
Phenomenology of Disease of Vitreous Body	p. 167
Symptoms with Vitreous Opacities and Specific Examinations	p. 167
Leukocoria	p. 167
Blood Vessels in the Vitreous Body	p. 168
Persistent Hyaloid Artery arising from the Optic Disc	p. 168
Active Neovascularization in the Vitreous Body in Proliferative Retinopathy	p. 169
Small Opacities in the Vitreous Body	p. 171
Floaters-Moving Spots against a Bright Background	p. 171
Distressing Subjective Perceptions in Posterior Vitreous Detachment	p. 171
Multiple White Dots like Snow Flakes Synchysis Scintillans-Cholesterol Hyalosis	p. 172
Multiple White Globules-Asteroid Hyalosis-Scintillatio Nivea	p. 172
Diffuse Opacities in the Vitreous Body	p. 172
Opacities from Chronic Cellular and Fibrinous Infiltration of the Vitreous Body	p. 172
Opacities from Acute Cellular and Fibrinous Infiltration of the Vitreous Body	p. 174
Large Opacities in the Vitreous Body	p. 178
Vitreous Hemorrhage	p. 178
Appearance of Optic Nerve Disorders	p. 181
Blurred Appearance, Hyperemia, and Protrusion-Optic Disc Edema	p. 181
Bilateral Blurring of the Optic Disc with Hyperemia and Prominence	p. 181
Unilateral Blurring of the Optic Disc with Hyperemia, Prominence, and Impaired Vision	p. 189
Pale, Often White, Sharply Demarcated Optic Disc-Optic Nerve Atrophy	p. 196
Diagnosis and Pathogenesis of Optic Nerve Atrophy	p. 196
Partial or Localized Pallor of the Optic Disc	p. 199
Completely White Optic Disc-Optic Nerve Atrophy	p. 202
Hereditary Optic Nerve Atrophy	p. 203
Excavations of the Optic Nerve	p. 206
Physiologic Cupping of the Optic Disc	p. 206
Cupping of the Optic Disc in Myopia	p. 207
Cupping and Atrophy of the Optic Nerve in Glaucoma	p. 207
Excavation Filled with Grayish-White Tissue-Optic Pit	p. 209
Anomalous Tissue on and adjacent to the Optic Disc	p. 209
Scleral Crescent-Pigment Crescent-Myopic Crescent	p. 209
Persistent Embryonic Tissue on the Optic Disc	p. 210
Optic Disc Coloboma-Morning Glory Disc	p. 211
Optic Disc Melanocytoma	p. 211
Optic Disc Hemangioma	p. 211
Optic Disc Osteoma	p. 211
Disorders without Conspicuous Changes of the Fundus	p. 213
Floaters	p. 213
Unilateral Visual Impairment in Children-Amblyopia	p. 213
Acute Visual Impairment with Normal Optic Disc	p. 214
Retrobulbar Optic Neuritis	p. 214
Visual Impairment with Normal Optic Disc	p. 215
Example of Compression Neuropathy of the Optic Nerve-Severe Endocrine Orbitopathy (Graves Disease)	p. 215
Color Vision Defects	p. 217
Congenital Hereditary Color Vision Defects	p. 217
Achromatopsia-Stationary Cone Dysfunction	p. 218
Incipient Tapetoretinal Degeneration	p. 218
Incipient Stargardt Disease	p. 218
Incipient Retinitis Pigmentosa	p. 219
Congenital Stationary Night Blindness (CSNB)	p. 219
Night Blindness with Hereditary Deficiency of the Retinol-Binding Protein	p. 219
Simulation	p. 220
Visual Agnosia	p. 220
List of Abbreviations	p. 222
Literature	p. 223
Systematic Outline of Fundus Diseases	p. 224
Index	p. 229
Table of Contents provided by Ingram. All Rights Reserved.

The Ocular Fundus

From Findings to Diagnosis

Industry Reviews

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