By Roger L. Coakes and Patrick J. Holmes Sellors (Auth.)

ISBN-10: 072360794X

ISBN-13: 9780723607946

This variation has been revised and up-to-date and is in color and in a brand new structure. The ebook nonetheless permits the coed or practicing health professional to deal with daily ophthalmic difficulties, in addition to spotting these medical occasions which require professional realization. It offers a concise account of recent ophthalmology. simple anatomy and body structure are coated in addition to the illnesses of the attention, defined symptom via symptom instead of by means of the standard systematic strategy. the attention in systemic illness, ophthalmic investigations and therapy, and customary misconceptions also are mentioned. All illustrations seem without delay contrary the suitable textual content

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The risk of systemic atropine-like drugs precipitating acute glaucoma is, however, low. 56 Acute glaucoma—optical section showing corneal oedema (A) and very shallow anterior chamber (B). Management 1. The initial treatment of acute glaucoma is medical. The aim is to lower rapidly the intraocular pressure and constrict the pupil. Acetazolamide is given orally or intravenously to reduce the rate of formation of aqueous humour and pilocarpine drops are instilled to constrict the pupil. Anti-emetics and analgesics are given as necessary.

The rapid rise in intraocular pressure causes 37 38 An outline of ophthalmology corneal oedema which produces coloured rainbow haloes around lights. The attacks usually resolve with sleep. It is important to recognize the problem at this stage since an acute attack can be prevented by peripheral iridectomy. Some patients are incorrectly diagnosed as suffering from migraine until, eventually, a full blown attack of acute glaucoma develops. Retinal emboli and t e m p o r a r y vascular occlusion Patients may present with a history of sudden loss of vision in one eye which is altitudinal and described as 'like a shutter coming down'.

2. Carotid artery stenosis. 3. Vertebrobasilar ischaemia. The commonest underlying pathology is atheroma which is discussed in Chapter 26. Retinal embolus. Angiogram showing carotid stenosis. Diseases of the eye Papilloedema Patients with moderate papilloedema due to raised intracranial pressure experience no visual symptoms as a result of the disc swelling but when the papilloedema is severe they may complain of fleeting loss of vision, often in both eyes, lasting for only a few seconds. This indicates that the circulation within the optic nerve is severely embarrassed and the pressure should be relieved as a matter of urgency to prevent the development of optic atrophy and blindness.

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