Uveitis

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Uveitis

Classification The Standardization of Uveitis Nomenclature (SUN) Working Group guidance on uveitis terminology, endorsed by the International Uveitis Study Group (IUSG), categorizes uveitis anatomically ( Fig. 11.1 ): • Anterior…

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Ocular tumours

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Ocular tumours

Benign Epibulbar Tumours Conjunctival naevus Introduction A conjunctival naevus is the most common melanocytic conjunctival tumour; the overall risk of malignant transformation is less than 1%. Treatment by excision is…

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Acquired macular disorders

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Acquired macular disorders

Introduction Anatomical landmarks The macula ( Fig. 14.1A ) is a round area at the posterior pole, lying inside the temporal vascular arcades. It measures between 5 and 6 mm in…

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Retinal detachment

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Retinal detachment

Introduction Anatomy of the peripheral retina Pars plana The ciliary body starts 1 mm from the limbus and extends posteriorly for about 6 mm. The anterior 2 mm consist of the pars plicata,…

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Hereditary fundus dystrophies

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Hereditary fundus dystrophies

Introduction General The hereditary fundus dystrophies are a group of disorders that commonly exert their major effect on the retinal pigment epithelium (RPE)–photoreceptor complex and the choriocapillaris to cause a…

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Glaucoma

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Glaucoma

Introduction Aqueous production Aqueous humour is produced from plasma by the ciliary epithelium of the ciliary body pars plicata, using a combination of active and passive secretion. A high-protein filtrate…

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Trauma

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Trauma

Eyelid Trauma Periocular haematoma A ‘black eye’, consisting of a haematoma (focal collection of blood) and/or periocular ecchymosis (diffuse bruising) and oedema ( Fig. 21.1A ) is the most common…

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Strabismus

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Strabismus

Introduction Definitions • The visual axis passes from the fovea, through the nodal point of the eye, to the point of fixation. In normal binocular single vision (BSV) the visual…

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Ocular side effects of systemic medication

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Ocular side effects of systemic medication

Cornea Vortex keratopathy (cornea verticillata) Clinical features In approximately chronological order: • Fine golden-brown opacities form an irregular horizontal line in the lower corneal epithelium of both eyes, similar to…

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Vitreous opacities

Aug 25, 2019 by in OPHTHALMOLOGY Comments Off on Vitreous opacities

Introduction The vitreous is a transparent extracellular gel consisting of collagen, soluble proteins, hyaluronic acid and water. Its total volume is approximately 4.0 ml. The few cells normally present in the…

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