By Neil J. Friedman MD, Peter K. Kaiser MD
Seasoned Elsevier authors Neil J. Friedman and Peter okay. Kaiser assist you get the very best leads to your checks with Case stories in Ophthalmology. This clinical reference’s case-based method can provide simply the perform you want to investigate, strengthen, and expand your mastery of each crucial proposal in ophthalmology for medical rounds, oral forums or recertification.
- Review key details on each point of ophthalmology: optics/refraction; neuro-ophthalmology/orbit; pediatrics/strabismus; exterior disease/adnexa; anterior section; and posterior segment.
- Learn from the specialists with contributions from an all-star duo of pro authors.
- Enhance your basic wisdom in ophthalmology and make stronger studying goals utilizing a hundred illustrated cases.
- Access the entire contents on-line at www.expertconsult.com.
The case-based source you want to arrange for the yankee Board of Ophthalmology oral exam
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Does she have any medical conditions? Is she taking any medication? 2. On exam, it is important to check the visual acuity, pupillary response with attention to the presence of a RAPD, extraocular motility, cornea, anterior chamber reaction, vitreous, retina, and optic nerve. 3. Corneal lesion (foreign body, abrasion, erosion, ulcer), uveitis, optic neuritis. 4. Retrobulbar optic neuritis. 5. Check color vision, visual fields, and perform a head / orbital MRI to look for periventricular white matter demyelinating lesions or plaques (the best predictor of future development of multiple sclerosis).
Additional information: this is the first time he has had double vision. His past ocular history is negative. He does have diabetes, which is controlled with oral medication. 4. What workup and treatment are required? 43 ANSWERS Case 22 1. The patient has an esotropia in primary gaze and deficiency of abduction OS. This is consistent with a lateral rectus (CN 6) palsy. 2. Most commonly it is vasculopathic in adults, but other etiologies include trauma, temporal arteritis, infection, multiple sclerosis, cerebrovascular accidents, increased intracranial pressure, and rarely tumors.
4. 50); ‘SAM-FAP’. To evaluate the fit, assess the fluorescein pattern, lens movement, and centration. 2. The power of a SCL is based on the spherical equivalent manifest refraction corrected for vertex distance. The base curve is based on average keratometry measurements. To evaluate the fit, assess the movement of the lens. Poor movement means the lens is too tight (too steep) and excessive movement indicates that the lens is too flat. 3. The lens is too tight, so to loosen it either increase the radius of curvature or decrease the diameter.