The Wills Eye Manual: Office and Emergency Room Diagnosis by Adam T. Gerstenblith MD, Michael P. Rabinowitz MD

By Adam T. Gerstenblith MD, Michael P. Rabinowitz MD

Completely revised, this sixth version of The Wills Eye handbook: place of work And Emergency Room analysis And remedy Of Eye sickness is definitely the right advisor for all clinicians who deal with eye issues.

Written in a concise define structure, this easy-to-read, pocket-sized reference is ideal for prognosis and administration of hundreds of thousands of ocular stipulations. From symptom to remedy it covers each ocular ailment more likely to be encountered in an place of work, emergency room, or sanatorium setting.

Yet even if it’s sufficiently small to slot in a pocket, this ebook offers the main actual and present info on over two hundred ophthalmic conditions.  It even contains the result of essentially the most contemporary significant medical trials — together with these relating to the care of sufferers with macular degeneration and retinal vein occlusion.



·       Chapters completely up-to-date and streamlined to make room for brand new and improved topics

·       contemporary significant medical trials information incorporated on care of sufferers with macular degeneration and retinal vein occlusion

·       Updates within the administration of orbital fractures, eyelid lacerations, strabismus, amblyopia, and ocular malignancies

·       New excessive definition photos of exterior, anterior section, and posterior phase sickness processes 

·       Imaging modalities up to date, particularly optical coherence tomography, magnetic resonance imaging, computed tomography, and ultrasound           biomicroscopy


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Additional info for The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease

Example text

1, Primary OpenAngle Glaucoma. Symptoms Treatment Usually asymptomatic unless glaucoma or hypotony/hypotony maculopathy develop. Large iridodialyses may be associated with monocular diplopia, glare, and photophobia. Both are associated with blunt trauma or penetrating globe injuries. Typically unilateral. 1. Sunglasses, contact lenses with an artificial pupil, or surgical correction if large iridodialysis and patient symptomatic. ) Critical. Characteristic gonioscopic findings as described above.

4. CT scan of brain and orbits (axial and coronal views, 1- to 2-mm sections) should be obtained with any history suggestive of penetrating injury or severe blunt trauma to rule out fracture, retained foreign body, ruptured globe, or intracranial injury. Loss of consciousness usually mandates a CT scan of the brain. Depending on the mechanism of injury, the cervical spine may need to be cleared. 5. 3, and Appendix 7, Technique for Diagnostic Probing and Irrigation of the Lacrimal System). 6. Be suspicious in glancing blunt trauma to the cheek or zygoma.

9. Indications for surgical evacuation of hyphema: —Corneal stromal blood staining. —Significant visual deterioration. —Hyphema that does not decrease to ≤50% by 8 days (to prevent peripheral anterior synechiae). —IOP ≥60 mm Hg for ≥48 hours, despite maximal medical therapy (to prevent optic atrophy). —IOP ≥25 mm Hg with total hyphema for ≥5 days (to prevent corneal stromal blood staining). —IOP 24 mm Hg for ≥24 hours (or any transient increase in IOP ≥30 mm Hg) in sickle trait or disease patients.

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