Download e-book for kindle: Clinical Techniques in Ophthalmology by Simon Nicholas Madge, James Kersey, Matthew Hawker, Meon

By Simon Nicholas Madge, James Kersey, Matthew Hawker, Meon Lamont (eds.)

A realistic instruction manual at the exam options, gear, investigations and optical techniques which the start trainee in ophthalmology must master.

  • available and finished advisor to the sensible talents and ideas with which the trainee ophthalmologist should be familiar
  • Clear assistance on use of kit which takes trainees significant perform to grasp -- e.g. slit-lamps, ophthalmoscopes, phacoemulsification machines and injectable or foldable lenses
  • Covers eye exam concepts and investigations resembling visible fields and fluorescein angiography
  • Very transparent and simply comprehensible part on scientific optics, explaining strategies comparable to ametropia
  • Illustrated in color throughout

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Extra resources for Clinical Techniques in Ophthalmology

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G. Frank Judisch, MD, et at. Published courtesy of Arch. Ophthalmol. 1979; 97: 2120-2122. ) 136 Redundant periumbilical skin in Rieger's syndrome (same patient as in 133-135). (G. Frank Judisch, MD, et at. Published courtesy of Arch. Ophthalmol. 1979; 97: 212o2122. } Aniridia Although an iridic patients usually appear to have no iris on examination with a slit lamp, some iris tissue is always present. In general the iris stump is so small that it can be seen only gonioscopically (137 and 138) or histopathologically (139).

80 37 Color Atlas of Gonioscopy Corneal Edema When the cornea is too edematous to permit adequate visualization of the angle, topical glycerin can provide some clearing (81 and 82) . The eye should be topically anesthetized before using glycerin. Even with topical anesthesia glycerin can be uncomfortable. Corneal clearing is rapid. The exami nation shou ld be carried out quickly as the effects arc short- lived. If visualizing the angle for gon iotomy presents a problem, edematous epithelium can be scraped away after wetting the cornea with 70% ethanol.

Some grading systems are quite simple - for example the ' wid e, intermediate, and narrow' classification of Go rin and Posner (1967). T he three primary alphanumeric systems that are cmrcntly used for grading the ang le a re those of Scheie, Shaffer, and Spaeth. Scheie System Scheie ( 1957) developed a grading system in which Roman numerals were used to describe the degree of angle closure. In his system one determines the angle structures that are visible on gonioscopy (107). Larger numbers signify a narrower angle.

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