This excellently illustrated book offers detailed guidance on the differential diagnosis and therapy of detachment of the retinal pigment epithelium (PED), a frequently seen feature in various diseases of the eye. Introductory chapters discuss the anatomy, pathophysiology, and imaging of PEDs, highlighting how especially the increasing use of spectral domain OCT enables even small PEDs to be detected and followed over time. The diverse forms of PED are then described, with explanation of how they may hint at the underlying pathology or even be pathognomonic when considered in conjunction with other clinical features. New insights are provided into the characteristics of the various forms of PED, and predictors of complications – such as rip of the PED – are discussed. It is clearly explained how knowledge of the different types of PED and their underlying diseases can assist in creating an appropriate individualized follow-up and therapy scheme for each patient.
The purpose of this book is to provide an update both on the present management of proliferative vitreoretinopathy (PVR) and on clinical and experimental research being done to control this disease. The book is divided into three parts. The first part deals with the current management of PVR. The Retina Society Classification of PVR is based in part on a gradation of severity from minimal to massive; therefore, this book attempts to correlate the management of PVR with its severity. The treatment of PVR of varying degrees of severity, from mild to the most severe form, is described by those authors with extensive experience with this spectrum of cases. Much progress has been made in the management of severe PVR as a result of vitreous injections, vitrectomy, periretinal membrane surgery, and retinal surgery. Authors in this book show that in mild and moderately severe PVR excellent results can be obtained with techniques that are less invasive and possibly less likely to stimulate further abnormal cellular proliferation. The new modalities for treatment of PVR are discussed by authors having extensive experience with them. The current status of pharmacological treatment and new concepts of the pathobiology of PVR are discussed. The second part of the book deals with questions frequently encountered in the management of PVR. These questions are answered by a panel of experts including Gary W. Abrams, Steven T. Charles, William H. Havener, Robert Machemer, Charles L. Schepens, and Walter H. Stern.
The introduction of anti-vascular endothelial growth factor (VEGF) agents has revolutionized therapy for a host of ocular diseases associated with leakage from normal blood vessels and pathologic blood vessel growth. Anti-VEGF Use in Ophthalmology is an all-inclusive reference designed to provide detailed, up-to-date, and clinically relevant information on the current use of anti-VEGF agents in the treatment of all ocular conditions.
Drs. Jay S. Duker and Michelle C. Liang have assembled a prestigious group of contributors who pool their collective expertise in this comprehensive book. Anti-VEGF Use in Ophthalmology is split into two sections with the first providing the history of VEGF and an overview of anti-VEGF agents and different routes of drug delivery, as it is important for eye care providers to be familiar with up-to-date aspects of the medications and indications for use.
The second section details the clinical uses of anti-VEGF agents in numerous ocular diseases, from the anterior segment including cornea and glaucoma to uveitis and various retinal and choroidal diseases. Each chapter in this section summarizes the disease process and utilizes high-quality ocular imaging to demonstrate the therapeutic use of the anti-VEGF agents.
Some of the topics covered in Anti-VEGF Use in Ophthalmology:
- Neovascular Age-Related Macular Degeneration
- Proliferative Diabetic Retinopathy
- Retinal Vein Occlusion
- Neovascular Glaucoma
- Macular Edema
- Retinopathy of Prematurity
- Corneal Disease
Anti-VEGF Use in Ophthalmology combines the theory and applications of anti-VEGF agents, making it not only a great learning tool for beginners but also a useful reference tool for a wide range of eye care professionals including optometrists, residents, comprehensive ophthalmologists, as well as specialists in anterior segment, pediatrics, and vitreoretinal disease.
This 3 volume set offers a comprehensive compilation which presents detailed information about ophthalmic (retinal, vitreous and macular) diseases. Key features of this set include: Emphasis on practical features of clinical diagnosis Concise and didactic presentation of key manifestations of diseases designed for rapid reference and target recall A vast selection of illustrations to sharpen clinical problem-solving skills Step by step treatment approaches to enhance the reader’s ability to handle medical cases Citations or relevant research articles in each chapter for further reading The first volume of this set brings information about retinal vascular diseases, choroidal neovascularization related diseases, vitreomacular interface, and other macular disorders. Written by a group of retina specialists, this book is an excellent resource for knowledge about retinal disorders. The streamlined format and evidence based medicine presented in the volume make this book the perfect reference for medical students, residents, general ophthalmologists and retina specialists.
Well organized and comprehensive, this text is richly illustrated with full-color photographs to assist with diagnosis and treatment of disorders of the peripheral ocular fundus. It covers developmental anomalies of the peripheral retina, ora serrata, and pars plana, with emphasis placed on degeneration and anomalies of the retina and vitreous which have the potential for producing a retinal break or detachment.
- Each condition includes a clinical description, histopathology, clinical significance, and brief discussions of treatment.
- Features Optomap images from the Panoramic200, which allow a full view of the peripheral retina rather than a partial view.
- Includes images taken with the more traditional condensing lens.
- Presents updated and expanded treatment descriptions for each of the clinical conditions.
- Features a more reader-friendly, full-color format, providing more clinical utility for the student and practitioner.
- Contains updated references for further study and research.
This is a comprehensive guide to the diagnosis, clinical management, surgery, and postoperative management of many retinal disorders. As such it will be invaluable to both trainee and consultant ophthalmologists but will also be useful to optometrists and ophthalmic opticians who are becoming increasingly involved in the diagnosis and treatment of ophthalmic disorders. The authors bring a wealth of experience in this field and present methods to help maximize the benefits of surgery.
Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, Vitreous Microsurgery is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fifth Edition describes many new techniques and refinements of established procedures. More than 170 three-dimensional full-color illustrations—many by the Charles Retina Institute’s resident medical artist, Byron Wood—enable surgeons to clearly visualize the techniques.
This edition has new chapters on the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy. All illustrations have been updated, the majority to a 25-gauge approach instead of 20-gauge, and many new illustrations have been added. Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail. The retinopathy of prematurity chapter was completely rewritten to address new examination procedures, laser guidelines, anti-VEGF therapy, and changing, more conservative indications for surgery. The section on anesthesia for vitreoretinal surgery was completely rewritten in collaboration with Gary Fanning, MD and Jay Mattingly, MD, leading experts on this subject from an anesthesiologist’s perspective.
The focus of the text is on the decision making process a surgeon goes through in evaluating the best course of treatment for his/her patient undergoing vitreous surgery. The book describes in detail clinically proven methods of managing the anterior and posterior segment vitreous surgery patient in a systematic manner. The text is organized in a building block approach with general methodology preceding its application to specific disease states. The book stresses algorithms for intra-operative decision making, relying on knowledge of physical principles and performed in the order of ascending risk.
This book provides an illustrated guide to peripheral retinal degenerations and the role of spectral domain coherence tomography (SD-OCT) in diagnosis and treatment. The book discusses 73 clinical cases and gives detailed information on the principles of SD-OCT and its application in the imaging of peripheral retina.
Peripheral Retinal Degenerations: Optical Coherence Tomography and Retinal Laser Coagulation, 2nd edition, discusses a broad range of retinal pathologies such as chorioretinal degenerations, posterior vitreous detachment, vitreoretinal adhesions and tractions and includes a plethora of high-quality clinical images throughout. Ophthalmologists and retinal specialists will find this updated edition to be the perfect didactic resource for furthering skills and knowledge in this clinical area.
The undisputed gold standard text in the field, Ryan’s Retina is your award-winning choice for the most current, authoritative information on new technologies, surgical approaches, scientific advances and diagnostic and therapeutic options for retinal diseases and disorders. Packed with timely updates throughout, new illustrations, and a dedicated team of editors who extend Dr. Ryan’s legacy in retina, this outstanding 6th Edition is a must-have reference for retinal specialists, ophthalmologists, and fellows in training.
- Offers the most comprehensive content available on retina, balancing the latest scientific research and clinical correlations, covering everything you need to know on retinal diagnosis, treatment, development, structure, function, and pathophysiology.
- Provides a truly global perspective from five highly esteemed section editors and more than 350 other world authorities from across Europe, Asia, Australasia, and the Americas.
- Bullets Includes new chapters on widefield imaging, intraoperative OCT imaging, medical management of diabetes mellitus and age-related macular degeneration, and senile retinoschisis.
- Includes more than 1,150 brand-new illustrations, scans, and photographs throughout.
- Covers the explosion of new imaging options across optical coherence tomography (OCT), fundus imaging, and autofluorescence imaging, including a greatly expanded OCT imaging chapter that features crucial information on OCT-Angiography (OCT-A).
- Presents new pharmacotherapy data and the latest approaches in anti-VEGF therapy for age-related macular degeneration, diabetic retinopathy, and venous occlusive disease.
- Features an expanded online video library highlighting the latest surgical techniques and new coverage of complications of vitreoretinal surgery.
- Contains thorough content updates in every area of retina, including advanced imaging technologies, gene therapy, inflammation and immune responses, white dot syndromes, epigenetic mechanisms, transplantation frontiers to improve retinal function, macular hole, myopic eye disease, ocular trauma, drug delivery to the posterior segment, advances in macular surgery, vitrectomy and complex retinal detachment, tumors, and retinal genetics and biology.
Retinopathy of Prematurity, An Issue of Clinics in Perinatology
With the advent of effective treatments for diabetic retinopathy (DR), a new era in the management of DR has been opened up. Amid the deluge of approved treatments and promising new strategies, however, clinicians may find it difficult to choose the appropriate practice in each individual case. The purpose of this easy-to-use and richly illustrated manual is to assist ophthalmologists in making decisions in the entire management of DR based on the best available evidence. Practical and complete recommendations are provided to guide clinicians in diagnosis, decision-making, and treatment. The manual includes practical algorithms and case histories relating to all stages of DR that clearly explain the progression of the disease and will help the clinician to choose the best therapeutic approach. It will be an ideal resource for ophthalmologists aiming to provide optimal clinical management for this sight-threatening disease.
Diabetes mellitus is a complex, multifactorial disease that is often associated with progressive retinopathy and visual loss. In this book, Drs. Scott, Flynn, and Smiddy have compiled the current basic science and clinical information from leading authorities on diabetic eye disease. They have also included the results of clinical trials in patients with diabetic retinopathy, as well as the guidelines established by collaborative studies and the concepts of disease mechanisms and clinical management that have subsequently evolved from those guidelines. This monograph will provide practitioners with a concise, up-to-date, practical reference for the diagnosis and management of ocular disease in diabetic patients.
Optical Coherence Tomography is an imaging technique which produces 3D images of the tissues of the eye. The Clinical Guide to Angio-OCT: Non Invasive, Dyeless OCT Angiography presents the principles of Angio-OCT, discusses its clinical possibilities and demonstrates its clinical utility to the everyday OCT user. Divided into eleven chapters, this book covers every aspect of OCT, from new terminology in the field to clinical applications, and a discussion on future ultrahigh speed swept-source OCT Technology, bringing this text firmly up to date. The Clinical Guide to Angio-OCT: Non Invasive, Dyeless OCT Angiography will develop interest in using Angio-OCT in normal clinical work, show the practical clinical utility of this modality in everyday ophthalmology, and help ophthalmologists and technicians to understand this new technique. Key Points * Features discussion on current and future technological and scientific Angio-OCT developments * Over 100 images and tables * Authored by ophthalmology experts from Italy and the US
Clinical OCT Angiography Atlas is a comprehensive guide to this important new imaging modality in ophthalmology. The book is divided into two parts; the first covers the technology and interpretation of OCT angiography, the second covers the study of diseases and disorders using OCT angiography. The second part is further divided into seven sections which provide a general update on clinical OCT angiography research across a range of retinal and choroid disorders. The final section discusses ongoing research and future developments in technology, particularly Ultrahigh Speed Swept Source technology. Enhanced by 251 full colour images, and edited by an internationally recognised team of ophthalmology experts led by Prof Bruno Lumbroso, this book is at the cutting edge of OCT technology. The operating principles and future of this technology are discussed in depth by its original developers, making this an informative and authoritative work. Key Points * Comprehensive, illustrated guide to new imaging technology * Edited by international team of ophthalmology experts * Operating principles and future developments discussed by the original developers *250 full colour images and illustrations
The vitreous humour is a clear gel positioned behind the iris (coloured part) and the lens, and in front of the retina (back of the eye). Vitrectomy is the surgical removal of the vitreous humour, a procedure needed to allow ophthalmic surgeons to diagnose and treat underlying disease in the eye. This new edition provides a step by step guide to vitrectomy surgeries. Beginning with a description of the anatomy and physiology, the role of optical coherence tomography and anaesthesia, the following chapters discuss vitrectomy procedures for different ocular diseases and disorders. Written by a recognised Spanish author and editor team, the second edition includes new chapters, more than 350 full colour images and illustrations, and a DVD demonstrating vitrectomy surgery. Key points * Step by step guide to vitrectomy surgery * Includes new chapters * Features more than 350 colour images and illustrations * Includes DVD * Spanish author and editor team * Previous edition published in 2006
This richly illustrated, comprehensive guide will enable the reader to identify anatomy and ophthalmic disease as illustrated on optical coherence tomography (OCT). It is the most up-to-date atlas of OCT images, many of which have been obtained with the newer OCT technologies that offer excellent image quality and definition at a microscopic level. All of the major disease areas in ophthalmology are covered, including diabetic retinopathy, age-related macular degeneration, uveitis, glaucoma, retinal vascular disease, and genetic abnormalities, and further hot topics are also considered. The chapters are written by leading international ophthalmologists from famous academic centers, and the numerous high-quality OCT images ensure that the reader will easily be able to follow the key issues. This book, with its clinical emphasis, will have wide appeal for residents, fellows, and experienced practitioners in ophthalmology, as well as optometrists and medical students and graduates.
This book is a comprehensive source of authoritative information on the clinical features,diagnosis, differential diagnosis, and management of medical and surgical retinal diseases. The Manual has 122 chapters, organized in 18 sections covering medical and surgical aspects of retinal diseases such as trauma, AMD, Uveitis, infections, endophthalmitis, pediatric diseases, dystrophies, and tumors. Easy-to-read chapters convey the fundamental concepts with the aid of clinical photographs, imaging studies (including fluorescein and indocyanine angiograms, ultrasonograms, CT scans, and MRI scans) and tables. The manual is of value to a wide range of practitioners and trainees, including students,residents, fellows and ophthalmologists who treat retinal diseases.
This book provides a concise overview over the pathology of retinal angiogenic diseases and explains why anti-angiogenic therapy is effective in so many patients. The reader is guided through the various clinical indications for anti-angiogenic therapy and made aware of its merits as well as current challenges and limitations. It is explained how, since its introduction for the treatment of exudative age-related macular degeneration in 2006, anti-angiogenic therapy has revolutionized the way in which we treat a range of ocular diseases. All of the authors are established experts in their respective fields who share their extensive knowledge and clinical experience with the reader. This book is both a valuable introduction to anti-angiogenic therapy in ophthalmology and a day-to-day companion for all ophthalmologists seeing patients with some of the most prevalent retinal diseases.