Contents
1 Eyelids ........................................................................ 1
Introduction ...................................................................... 2
Non-neoplastic lesions ..................................................... 3
Benign epidermal tumours ............................................... 7
Benign pigmented lesions ................................................ 9
Benign adnexal tumours ................................................. 10
Miscellaneous benign tumours ....................................... 12
Malignant tumours .......................................................... 13
Disorders of the eyelashes .............................................. 25
Allergic disorders ............................................................ 30
Bacterial infections ......................................................... 31
Viral infections ................................................................ 32
Blepharitis ...................................................................... 34
Ptosis ............................................................................. 38
Ectropion ........................................................................ 45
Entropion ........................................................................ 50
Miscellaneous acquired disorders ................................... 51
Cosmetic eyelid and periocular surgery........................... 56
Congenital malformations ............................................... 57
2 Lacrimal drainage system .......................... 63
Introduction .................................................................... 64
Acquired obstruction....................................................... 69
Congenital obstruction .................................................... 72
Chronic canaliculitis........................................................ 73
Dacryocystitis ................................................................. 73
3 Orbit ......................................................................... 77
Introduction .................................................................... 78
Thyroid eye disease ........................................................ 82
Infections ........................................................................ 87
Non-infective inflammatory disease ................................ 89
Non-neoplastic vascular abnormalities ........................... 92
Cystic lesions.................................................................. 95
Vascular tumours ............................................................ 98
Lacrimal gland tumours ................................................103
Neural tumours .............................................................106
Lymphoma ....................................................................109
Rhabdomyosarcoma .....................................................109
Metastatic tumours .......................................................110
The anophthalmic socket ..............................................113
Craniosynostoses ..........................................................117
4 Dry eye ................................................................ 119
Introduction ..................................................................120
Sjögren syndrome .........................................................121
Clinical features ............................................................122
Investigation .................................................................124
Treatment ......................................................................127
5 Conjunctiva ....................................................... 131
Introduction ..................................................................132
Bacterial conjunctivitis ..................................................135
Viral conjunctivitis .........................................................141
Allergic conjunctivitis ....................................................144
Conjunctivitis in blistering mucocutaneous disease ......152
Miscellaneous conjunctivitides ......................................158
Degenerations...............................................................162
Subconjunctival haemorrhage .......................................166
6 Cornea ................................................................. 167
Introduction ..................................................................168
Bacterial keratitis ..........................................................175
Fungal keratitis .............................................................180
Herpes simplex keratitis ................................................183
Herpes zoster ophthalmicus ..........................................189
Interstitial keratitis ........................................................194
Protozoan keratitis ........................................................197
Helminthic keratitis .......................................................199
Bacterial hypersensitivity-mediated corneal disease.........................................................199
Rosacea .......................................................................201
Peripheral corneal ulceration/thinning ..........................202
Neurotrophic keratopathy ..............................................206
Exposure keratopathy ....................................................207
Miscellaneous keratopathies .........................................209
Corneal ectasias ...........................................................213
Corneal dystrophies ......................................................216
Corneal degenerations ..................................................225
Metabolic keratopathies ...............................................230
Contact lenses ..............................................................232
Congenital anomalies of the cornea and globe ............233