By Neil J. Friedman MD, Peter K. Kaiser MD
Seasoned Elsevier authors Neil J. Friedman and Peter ok. Kaiser assist you get the very best leads to your tests with Case stories in Ophthalmology. This clinical reference’s case-based process supplies simply the perform you must investigate, toughen, and increase your mastery of each crucial idea in ophthalmology for scientific rounds, oral forums or recertification.
- Review key details on each point of ophthalmology: optics/refraction; neuro-ophthalmology/orbit; pediatrics/strabismus; exterior disease/adnexa; anterior section; and posterior segment.
- Learn from the specialists with contributions from an all-star duo of pro authors.
- Enhance your basic wisdom in ophthalmology and toughen studying targets utilizing a hundred illustrated cases.
- Access the total contents on-line at www.expertconsult.com.
The case-based source you must arrange for the yankee Board of Ophthalmology oral exam
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She used to be able to read large print books with bright light but is struggling to do so now, so she wants to get new reading glasses. Her visual acuity is 20/400 OD and 20/80 OS. She denies any change in appearance of the Amsler grid, which she checks several times a week OS, and exam of the maculas shows a disciform scar OD and drusen with retinal pigment epithelium (RPE) atrophy OS. 1. How would you estimate the add power for reading glasses? 2. What type of low-vision aids would be helpful for this patient?
The history and findings reveal involvement of CN 3, 4, V1, V2, 6, and sympathetics (Horner’s syndrome), which indicate a cavernous sinus lesion. e. CN 2, 3, 4, V1, and 6). 46 NEURO-OPHTHALMOLOGY/ORBIT CASE 24 You are called to see a 52-year-old woman in the ER with a 1-week history of progressive periorbital pain, headache, redness, and swelling. 1. What would you ask this patient? 2. What is the differential diagnosis? 3. What would you look for on exam to distinguish between these two diagnoses?
The typical appearance is disc hyperemia, peripapillary telangiectatic vessels, tortuous vessels, peripapillary nerve fiber layer edema, and eventually optic disc pallor. 6. LHON is a hereditary optic neuropathy with maternal inheritance, so it is transmitted to all sons (only 50% are affected). Visual loss occurs in the 2nd–3rd decade of life with bilateral sequential loss of vision to worse than 20/200. Unfortunately there is no treatment. 7. Ethambutol is the most common; others include isoniazid, chloramphenicol, streptomycin, methanol, digitalis, chloroquine, and quinine.