Vills Eye Manual

Appendix 14

ANGLE CLASSIFICATION

Appendix 15

YAG LASER PERIPHERAL IRIDOTOMY OPHTHALMIC

ACRONYMS AND ABBREVIATIONS

INDEX

Video List

The accompanying ebook includes embedded videos, found in their respective sections as listed below. Each is narrated with audio. Details on how to access the ebook are found in the inside front cover.

  • 3.8. VIDEO: Eyelid Laceration Repair

  • 3.10. VIDEO: Canthotomy and Cantholysis

  • 3.11. VIDEO: Relative Afferent Pupillary Defect

  • 3.14. VIDEO: Cyanoacrylate Corneal Glue

  • 4.11. VIDEO: Corneal Culture Procedure

  • 10.5. VIDEO: Third Cranial Nerve Palsy

  • 10.7. VIDEO: Fourth Cranial Nerve Palsy

  • 10.8. VIDEO: Sixth Cranial Nerve Palsy

  • 10.11. VIDEO: Ocular Myasthenia

  • 10.13. VIDEO: Internuclear Ophthalmoplegia

  • 11.3. VIDEO: B-scan Ultrasound Tutorial

  • 11.13. VIDEO: B-scan Ultrasound Tutorial

  • 11.27. VIDEO: B-scan Ultrasound Tutorial

  • 14.8. VIDEO: B-scan Ultrasound Tutorial

  • Appendix A.7. VIDEO: Probe and Irrigation

  • Appendix A.11. VIDEO: Intravitreal injection

  • Appendix A.11. VIDEO: Intravitreal Tap and Inject

  • Appendix A.13. VIDEO: Anterior Chamber Paracentesis

CHAPTER 1

Differential Diagnosis of Ocular Symptoms

BURNING

More Common. Blepharitis, meibomitis, dry eye syndrome, conjunctivitis.

Less Common. Inflamed pterygium or pinguecula, episcleritis, superior limbic keratoconjunctivitis, ocular toxicity (medication, makeup, contact lens solutions), contact lens–related problems.

CROSSED EYES IN CHILDREN

See 8.4, Esodeviations (eyes turned in), or 8.5, Exodeviations (eyes turned out).

DECREASED VISION

1. Monocular

Acute

Painless. Retinal artery or vein occlusion, ophthalmic artery occlusion, ischemic optic neuropathy, giant cell arteritis, vitreous hemorrhage, retinal detachment, sudden discovery of preexisting unilateral visual loss.

Painful. Corneal lesion (abrasion, ulcer), uveitis, dry eye syndrome, acute angle-closure glaucoma, endophthalmitis, corneal hydrops, optic neuritis (pain with eye movement; however, ~10% of cases are painless).

Transient (vision returns to normal within 24 hours)

Painless. Amaurosis fugax, optic disc drusen, impending central retinal vein occlusion (CRVO), ocular ischemic syndrome, orthostatic hypotension.

Painful. Migraine, dry eye syndrome, superficial punctate keratopathy.

2. Binocular

Acute and/or transient

Painless. Stroke (homonymous hemianopsia), vertebrobasilar insufficiency, ciliary spasm or ciliary body rotation, papilledema.

Painful. Migraine, dry eye syndrome, superficial punctate keratopathy, pituitary apoplexy, papilledema (may have headache).

3. Monocular/binocular

Chronic

Painless. Refractive error, cataract, open angle glaucoma, chronic angle-closure glaucoma, corneal scar, optic neuropathy, dry eye syndrome, chronic retinal disease (e.g., diabetic retinopathy, age-related macular degeneration [AMD]).

Painful. Dry eye syndrome, superficial punctate keratopathy.

  1. Posttraumatic visual loss: Corneal irregularity, hyphema, ruptured globe, traumatic cataract, commotio retinae, retinal detachment, retinal or vitreous hemorrhage, lens dislocation, traumatic optic neuropathy, cranial neuropathies, central nervous system (CNS) injury, sympathetic ophthalmia (rare).

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