Janice A. Gault
Hanley & Belfus, 2003 - Medical - 270 pages
In this vignette-based companion to the highly popular Ophthalmology Secrets, the authors, largely from Wills Eye Hospital, present a wealth of real-patient cases with which to challenge the reader. For each case, a patient case scenario is presented, accompanied by physical findings, pertinent lab data and an illustration, and the reader is asked to make a diagnosis and formulate a management plan. The authors answer the questions they have proposed, provide a focused discussion, and conclude with three or four key "Secrets" distilled from the case.
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A 37yearold man with asymptomatic nerve fiber layer infarcts
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abnormal amblyopia angle Arch Ophthalmol artery bilateral blepharitis cataract surgery cause chamber choroidal choroidal melanoma Clinical Pearls congenital conjunctival injection corneal decrease defect deviation diabetic retinopathy diagnosis dilation diplopia drusen elevated endophthalmitis epithelial epithelium esotropia evaluation examination is normal eyelid Fluorescein Fundus glaucoma glioma Gonioscopy hemorrhage herpes hyphema infection inflammation intraocular involvement iris keratitis keratoconus Laboratory Findings laser LASIK left eye lens lesion macular edema MD PATIENT medications melanocytoma melanoma meningioma ment muscle neovascularization nevus nystagmus occlusion occur Ocular Examination Ophthalmology optic disc optic nerve orbital pain palsy pigment posterior present pressure primary prism diopters proptosis ptosis pupil pupillary rectus refractive error retinal detachment retinoblastoma right eye risk segment examination Shields CL Slit-lamp Slit-lamp exam stain strabismus stromal surgical symptoms syndrome testing therapy tients tion topical steroids trauma treated treatment tumor typically unilateral uveitis vision visual acuity visual field visual loss vitrectomy vitreous