13 Retinal vascular disease .......................... 519
Retinal circulation .........................................................520
Diabetic retinopathy ......................................................520
Non-diabetic retinopathy ..............................................538
Retinal venous occlusive disease ..................................538
Retinal arterial occlusive disease ..................................549
Ocular ischaemic syndrome ..........................................556
Hypertensive eye disease ..............................................557
Sickle cell retinopathy...................................................559
Thalassaemia retinopathy .............................................561
Retinopathy of prematurity ............................................561
Retinal artery macroaneurysm ......................................565
Primary retinal telangiectasia........................................569
Eales disease ...............................................................569
Radiation retinopathy ....................................................572
Purtscher retinopathy ....................................................572
Valsalva retinopathy ......................................................572
Lipaemia retinalis .........................................................574
Retinopathy in blood disorders .....................................574
14 Acquired macular disorders ................... 579
Introduction ..................................................................580
Clinical evaluation of macular disease ..........................581
Investigation of macular disease ...................................586
Age-related macular degeneration ................................598
Retinal angiomatous proliferation .................................616
Polypoidal choroidal vasculopathy ................................617
Peripheral exudative haemorrhagic chorioretinopathy ......................................................618
Idiopathic choroidal neovascularization .........................618
Vitreomacular interface disorders..................................618
Central serous chorioretinopathy ...................................624
Idiopathic macular telangiectasia .................................627
Cystoid macular oedema ..............................................630
Microcystic macular oedema ........................................630
Degenerative myopia ....................................................631
Angioid streaks .............................................................635
Hypotony maculopathy..................................................637
Solar retinopathy ..........................................................638
15 Hereditary fundus dystrophies .............. 641
Introduction ..................................................................642
Investigation .................................................................642
Generalized photoreceptor dystrophies .........................646
Macular dystrophies .....................................................660
Generalized choroidal dystrophies ................................667
Hereditary vitreoretinopathies .......................................669
Albinism .......................................................................678
Cherry-red spot at the macula ......................................680
16 Retinal detachment ..................................... 681
Introduction ..................................................................682
Peripheral lesions predisposing to retinal detachment ...............................................................688
Posterior vitreous detachment.......................................694
Retinal breaks ..............................................................698
Rhegmatogenous retinal detachment ............................701
Tractional retinal detachment ........................................711
Exudative retinal detachment ........................................712
Pars plana vitrectomy ...................................................713
17 Vitreous opacities ........................................ 721
Introduction ..................................................................722
Muscae volitantes .........................................................722
Vitreous haemorrhage ...................................................722
Asteroid hyalosis ...........................................................722
Synchysis scintillans .....................................................722
Amyloidosis ..................................................................722
Vitreous cyst .................................................................726
Persistent fetal vasculature ...........................................726
18 Strabismus ........................................................ 727
Introduction ..................................................................728
Amblyopia ....................................................................737
Clinical evaluation ........................................................738
Pseudostrabismus ........................................................755
Heterophoria .................................................................756
Vergence abnormalities .................................................756
Esotropia ......................................................................757
Exotropia ......................................................................762
Congenital cranial dysinnervation disorders ..................764
Monocular elevation deficiency .....................................766
Brown syndrome ...........................................................766
Alphabet patterns .........................................................767
Surgery .........................................................................769
Botulinum toxin chemodenervation ...............................771