By Samar K. Basak
With the present swift improvement of ophthalmic sciences, it truly is tricky for ophthalmologists to stay totally brand new with all components of scientific strong point. the second one variation of this atlas describes the most recent advances in scientific ophthalmology. each one bankruptcy offers with a separate a part of the attention, discussing various ailments and issues that could be encountered by means of ophthalmologists. every one is followed by way of concise descriptions of significant and minor symptoms, in addition to exact images illustrating the disorder. This entire re-creation positive aspects 3750 complete color photographs and illustrations, together with greater than six hundred extra photos. photos from the 1st variation were changed with higher caliber images fascinated by the Haag-Streit BX-900 Photo-Slit Lamp and the Zeiss FF 450 Plus Fundus digicam.
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1: Periocular depigmentation—VKH Fig. 2: Periocular depigmentation—drug induced Fig. 3: Periocular depigmentation following eye drop Fig. 4: Periocular depig mentation—following trimethoprim drop Depigmentation of Periocular Skin Rare, unilateral condition Cause –– VKH syndrome (Fig. 1) –– Sympathetic ophthalmia –– Drug induced; like topical sparfloxacin, trimethoprim drops, topical prostaglandin analogs, etc. 4) Treatment: Withdrawal of topical drops in selective cases. 40 Atlas of Clinical Ophthalmology Ankyloblepharon Adhesion between upper and lower eyelids May be partial or complete Causes –– Congenital (Fig.
2) when both lids are involved as after a head injury or severe whooping cough Treatment: No active treatment is required. Phthiriasis Palpebrum Infestation of eyelashes with crab louse “Phthirus pubis” (Fig. 1) and its ova, called nits Typically affects children and young female The lice are adherent to the skin and nits stuck to the eyelashes (Fig. 2) Treatment: Cotton pellet soaked in pilocarpine eye drop applied over the eyelashes for few minutes then the lice can be easily removed –– Simultaneous treatment for body louse infestation for both partners.
Fig. 2: Purulent conjunctivitis— affected—RE Fig. 3: Purulent conjunctivitis Fig. 1A and B) In other cases, it is a catarrhal, or mucopurulent conjunctivitis (Fig. 2) Treatment: –– –– –– –– Ciprofloxacin or penicillin (1 in 5,000) eye drop hourly and ciprofloxacin ointment at night Injection ceftriaxone (IM)—50 mg/kg/day × 5 days For Chlamydia—sulfacetamide (10%) eye drop—4 times daily Prevention by: Proper antenatal care, asepsis during delivery, antibiotic eye drop. Fig. 1A: Neonatal gonococcal conjunctivitis Fig.
Atlas of Clinical Ophthalmology by Samar K. Basak