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Trove: Find and get Australian resources. Books, images, historic newspapers, maps, archives and more. Editorial Reviews. Review. "The most stunning aspect of this book is that the authors serve the Clinical Anatomy of the Eye 2nd Edition, Kindle Edition. by. Clinical Anatomy of the Eye has proved to be a very popular textbook for ophthalmologists and optometrists in training all over the world. The objective of the.
Hypertelorism, ocular: Increased distance between the two eyes of a given patient. Hyphema: The presence of blood in the anterior chamber. Hypopyon: The presence of pus or a puslike formation in the anterior chamber. Intraocular lens: An artificial lens surgically implanted usually during cataract removal surgery. Lridectomy: The removal of a portion of the iris, thereby creating a fistula between the posterior and anterior chambers.
The procedure is used in the treatment of closed-angle glaucoma. Iridocyclitis: Concurrent inflammation of the iris and ciliary body, usually characterized by the presence of flare and cells in the anterior chamber.
Iritis: Inflammation of the iris. Keratic precipitates: Masses of leukocytes adherent to the corneal endothelium, commonly observed in diverse forms of uveitis. Keratitis: Inflammation of the cornea. Keratitis, exposure: Corneal inflammation or irritation occurring secondary to corneal exposure. Keratitis sicca: Corneal inflammation associated with impaired tear secretion and concomitant ocular dryness. Keratoconus: Condition in which the central cornea is conically distorted secondary to a degenerative process in the stroma.
Keratolenticular dysgenesis: Concomitant defective embryonic development of the cornea and crystalline lens. Keratopathy, band: The horizontal, linear deposition of calcium in the subepithelial aspect of the cornea. Keratoplasty: Corneal transplantation. Keratoplasty, lamellar: A partial-thickness keratoplasty. Keratoplasty, penetrating: A full-thickness keratoplasty. Keratoprosthesis: A corneal transplant using an artificial cornea.
Keratouveitis: A concomitant inflammation of the cornea and uveal tract. Lagophthalmos: Inability to completely close the eyelids, leading to persistent exposure of the ocular globe.
Limbus: The demarcation between the cornea and sclera. Lipodermoid of the conjunctiva: A choristoma of the conjunctiva, usually located in the vicinity of the limbus, that may contain cartilage, adipose tissue, sebaceous and sweat glands, and ectopic lacrimal gland.
Macula lutea literally translated yellow spot : Referring to the area circumscribing the fovea centralis of the retina.
Macular degeneration: A spectrum of abnormalities in which the central retinal area, the macula, is compromised, usually associated with a concomitant compromise in visual acuity and central retinal function. Macular edema: The accumulation of fluid in the central retinal or macular area, commonly associated with distortion of vision. Macular exudates: Yellow-white, refractile areas located in the macular region of the retina that represent ischemic or infarcted areas subsequently infiltrated with lipidlike deposits.
Maculopathy: A disease process affecting the macular region of the retina. Madarosis: Loss of eyelashes. Meibomian glands: Sebaceous glands located within the eyelid tarsus that elaborate the lipid portion of the tripartite tear film.
Microphthalmos: Abnormal diminution in the size of the eyeball. Monofocal intraocular lens: Artificial lens with a single focus to be implanted in the eye, which provides clear distance or near vision.
The recipient patient after monofocal implantation is often spectacle-dependent for near or distance. Myopia Nearsightedness : Refractive error in which objects are seen as unclear because the eyeball is too long or the refractive power of the eye is too strong. This may be corrected by concave lenses. Myositis, orbital: Inflammation of the extraocular muscles associated with painful or restricted movements of the globe. Nyctalopia: Night blindness with concomitant preservation of normal daylight vision.
Nystagmus: Involuntary rhythmic oscillation of the eyes. OCT Optical Coherence Tomography : A noninvasive imaging technique used to obtain cross-sectional images of the retina, which is very useful in evaluation of the retina and optic nerve.
Ocular media: Those anatomic structures through which light passes to ultimately impinge on the retina. These include the cornea, lens, and vitreous body. Ophthalmia neonatorum: An acute conjunctivitis that begins within the first 10 days after birth. Optic disc pallor: Paleness of the optic nerve head suggesting a decrease in the number of nerve fibers subsequent to nerve fiber damage.
Orbital septum: Structure extending from the orbital bony margins to the lid that prevents orbital fat and many inflammatory processes from extending into the lid. Pannus: A vascularized corneal scar. Panophthalmitis: A generalized purulent inflammation of the entire globe. Papillitis: Inflammation of the optic nerve head.
Pars planitis: Inflammation of the pars plana—the posterior aspect of the ciliary body. Photokeratitis: Keratitis or corneal burn induced by excessive exposure to light, usually of the ultraviolet spectrum. Photophobia: The aversion to light due to pain or irritation induced by such exposure.
Phthisical: Referring to the condition of phthisis bulbi. Phthisis bulbi: Atrophic shrinkage of the eyeball. Poliosis of the eyelashes: Whitening of the eyelashes. Presbyopia: An age-related condition in which the eye loses its ability to see clearly for near, ie, loses of accommodative ability.
Preseptal cellulitis: A cellulitis of the eyelids that has not penetrated through the orbital septum to gain access to the orbit. Proptosis: Anterior protrusion of the globe. Pseudophakia: An eye condition whereby an artificial intraocular lens is implanted in the eyes to replace the natural lens.
Ptosis: Drooping of the upper eyelid.
Punctoplasty: Surgical alteration of the lacrimal puncta, usually directed toward improving lacrimal drainage. Refractive errors: Focusing errors of the eye resulting from the failure of light rays entering the eye to converge on the retinal plane. Such refractive errors include myopia, hyperopia, and astigmatism. Retinal detachment: Separation of the neurosensory retina from the underlying retinal pigment epithelium.
Retinal pigmentation: The presence of increased, excessive, or abnormally distributed pigment in the retina. Retinal tear: Dehiscence in retinal tissue exposing the underlying choroid. Retinitis pigmentosa: A hereditary degenerative disease characterized by retinal pigmentary migration to form a striate sheathing of the retinal vessels.
Retinopathy: An abnormality or pathologic process involving the retina. Retroillumination: The technique of examining a partially transparent tissue by light reflected from the posterior aspect of the tissue. Retrolental fibroplasia: Destructive retinal fibrovascular hyperplasia observed in premature infants exposed to excessive concentrations of oxygen, usually as a part of Retinopathy of Prematurity.
Retrolental masses or membranes: Mass lesions or membranes located posterior to the crystalline lens. Rhegmatogenous retinal detachment: Separation of the neurosensory retina from the underlying retinal pigment epithelium secondary to a retinal break or tear in the neurosensory retina.
Schirmer test: A simple clinic evaluation of tear production based on the quantitative wetting during a 4-minute interval of a piece of folded filter paper positioned in the lower lid fornix. Schwalbe's line or ring: The peripheral margin of Descemet's membrane in the area of the corneoscleral limbus. Scotoma: A deficiency in the visual field. Staphyloma: A protruding defect of the sclera or cornea that is lined with uveal tissue.
Strabismus: A misalignment or deviation of one or two eyes when attempting binocular fixation on the same target. Dean R. Neal C. Clyde A. Color Atlas of Anatomy. Johannes W. Brant and Helms' Fundamentals of Diagnostic Radiology. Jeffrey Klein. The Requisites E-Book. Robert D. Core Radiology.
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Guide to the Dissection of the Dog - E-Book. Howard E. Radiology Secrets Plus E-Book. Scott Pretorius. Veeral S. Cranial Nerves: Anatomy, Pathology, Imaging. Devin K.
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Chummy S. Case Reviews in Ophthalmology E-Book. Anatomy for Diagnostic Imaging E-Book. Stephanie Ryan. If finding support becomes a big problem, talk to someone.
Perhaps you can have a named supervisor with a lighter clinic to allow them the required extra time. Know colleagues' sub-specialisms as they are always more likely to be happy to advise you if they have a sub-specialist interest in the area you are asking about. Most consultants will be happy to be involved in anything involving surgery or if something is going wrong. Ask before dilating a patient if you are unsure.
The pupil has lots of useful signs, and colour vision and visual fields are more difficult to assess in a dilated patient. Clean your slit lamp in front of your patient, you can start to take a history while you do so. It sets an evident atmosphere of concern for the patient's welfare that can facilitate rapport. You may be asked to give intravenous fluorescein as part of a fluorescein angiogram.
Take extra care to check everything, especially if you are asked to complete only a part of this process. Patients don't always volunteer information, some have unfailing faith and will sit and happily report, at their second angiogram, that their tongue is swelling up AGAIN! It is helpful to advise people on what local services are available to them, there are low visual aid clinics, multiple local patient groups, associations, and charities that can be a real lifeline and make you feel better about poor prognoses.
It will also help the registrar who may be unaware of the local resources. If you are being pushed to admit someone, involve the registrar early. Few hospitals have hour on-site ophthalmology; find out what the arrangements are, as at night.
Traumatic eye injuries are notorious for distracting from other more urgent medical problems. The ophthalmology registrar will be upset to find a patient with chest pain and a positive troponin sitting in the outpatients waiting room.
It is much better to get the relevant team to admit and then review the patient when medically stable. Try not to be a slave to the ophthalmology casualty clinic but see some other clinics and theatre sessions. Ophthalmology is sub-specialised for good reasons and although you may not need to see it all it will give you a better overview. Do some minor operations for example, incision and curettage of chalazions.
Learn the lingo. The best help you can be on call is explaining clearly to your registrar what you can see. Be confident in what you can examine and what you cannot.
It is important as they will rely on your eyes when they are at home supervising you on call.