Essentials of Ophthalmology Samar K Basak
INDEX
Page numbers followed by f refer to figure, and t refer to table
A
Ab externo 485, 523
Ab interno 485, 522
Abducens nerve 21, 22
palsy 437
Abduction, absence of 437f
Abeta-lipoproteinemia 343
Abrasions 112
Abscess
lacrimal 414, 415f, 416f
orbital 393, 394f
Absolute glaucoma 292f
stage of 292
Acanthamoeba keratitis 189, 189f
Accommodation 422
insufficiency of 89
paralysis of 89
range of 87
spasm of 89
Accredited Social Health Activists 510
Acetazolamide 61, 185, 296, 344
Achromatic lens 67
Achromatopsia 41
Acid
burn 459, 460, 460f
fast bacilli, sputum for 161
organic 30
protein complexes 459
Acilium 13
Acquired immunodeficiency syndrome 242
Acrylic ball implant, insertion of 499
Acyclovir 50
Adenoma sebaceum 330f
Adie's pupil 46, 46f
Adrenaline 49, 53
Aflibercept 60
Age-related macular degeneration 264, 339, 341, 341f, 503, 505, 584
non-exudative 340
types of 340
Air-puff noncontact tonometry 286
Akinesia 466
Albinism 222
partial 222
Alcian blue 109
staining 406
Alcohol 557
Allokeratoplasty 488
Amantadine 62
Amaurosis fugax 333, 367
Amaurotic cat's eye reflex 379f
Amblyopia 85, 424
ametropic 424
anisometropic 424
ex anopsia 424
strabismic 424
tobacco-alcohol 364
toxic 364
Amblyopic eye, characteristics of 424
Amethocaine 53
Ametropia 70
Amiodarone 62
Amniotic membrane transplantation 501
Amphotericin-B 51
Amsler's grid test 272, 341, 341f
Anesthesia 466, 469, 481, 496, 499
general 273, 467
infiltration 467
local 466, 497
regional 467
Anesthetic
agents 467
topical 53
Angiogram
abnormal 564
normal 562
Angioid streak 248, 249f
Angiomatosis
encephalotrigeminal 330
retinae 330, 331f
Angioscotomata 305
Angle closure
glaucoma 146f, 289f
acute attack of 110, 111, 291f
primary 52, 289, 517
mechanisms of 289, 290f
Angle gamma 68
Angle kappa 68
Angle recession 447
gonioscopic view of 448f
Aniridia 219, 220f
traumatic 447
Anisometropia 70, 85, 213
etiology 85
treatment 85
Ankyloblepharon 120
Annular synechiae 231
Anterior chamber 3, 7, 12, 49, 72, 82, 226, 291, 445, 455, 458, 470
abnormal contents of 113, 113f
angle 6, 7f, 455f
grading of 294f, 295f
causes of 113
cells, grading of 228t
depth 112f
grading of 227t
intraocular lens 114f, 478, 479, 479f
irregular 113
normal gonioscopic appearance of angle of 295f
paracentesis 230
type 481
Anterior corneal surface, refraction of 65
Anterior flaps, suturing 498
Anterior segment
and fundus 430
ischemia 401
optical coherence tomography 579
Anterior synechia 182, 229
categories of 114
division of 487
Anterior uveitis 226, 235, 236, 379
complications of 230
Antibiotic 50, 244
drops 415
intraocular injections of 50
intravenous broad-spectrum 393
subconjunctival 50
systemic 50, 185
therapy 244
topical 50, 194
Antibody
antinuclear 230f
derivative 60
monoclonal 59
Anticholinesterase 51
Anticonvulsant drug 361
Antifungal 51
drugs 188
Antihistamines 49
Antihistaminic, topical 163
Antithyroid drugs 397
Anti-toxoplasmic drugs, systemic 237
Anti-vascular endothelial growth factor agents 59
Antivirals 50
Aphakia 81, 117, 213, 273f
correction of 83f
etiology 81
hypermetropia in 82f
signs of 280
treatment 83
Aphakic glasses, conventional 262
Applanation tonometer 119, 283
Aqueous
cells 227, 228f
flare 226, 228f
humor 30
circulation of 31
formation 30
paracentesis 380
normal flow rate of 31
outflow channels 282f
production, reduction of 283
tap 574
tear deficiency 404
Arcuate scotomata 305f
Arcuate wedge resection 560
Arcus juvenilis 201, 201f
Arcus senilis 201, 201f
Argon laser
cilia ablation 127
trabeculoplasty 559
Argyll Robertson's pupil 46, 46f
Aristotle's theory 38
Arlt's triangle 226, 227f
Arruga's method 528
Arruga's needle holder 520, 520f
Arteriosclerosis 171
Arteriovenous crossing 94
Arteritis, temporal 582
Artery 22
anterior ciliary 10, 23
central retinal 23
cilioretinal 562
forceps 521, 521f
lacrimal 23
occlusion, central retinal 333, 333f, 334f, 571
ophthalmic 2123
recurrent 23
Arthritis
idiopathic rheumatoid 235f
juvenile rheumatoid 234
A-scan
ultrasonography 568f
uses of 568
Aspiration 474
Aspirin 356
Asteroid hyalosis 322, 322f
Astigmatic fan 80, 81f, 93
Astigmatism 70, 78, 213, 581
against rule 82
compound hypermetropic 78
curvature 78
degree of 81
irregular 79, 81
simple hypermetropic 78
Atherosclerosis 365
Atrophic
bulbi 230
papilledema 368
pterygium 166
rhinitis 412
Atropine 47, 52, 283
intoxication 61
penalization 425
sulfate 185
Attack
acute 291, 292
congestive 290
recurrent 215
transient ischemic 584
Aurolab aqueous drainage implant 311
Autograft 490
conjunctival 167
limbal 167
Autokeratoplasty 490
Autosomal dominant 260, 342
Autosomal recessive 342
Autoxidation 27
Avastin 60
Axial length 3
Azathioprine 57
B
Balanced salt solution 326
Bandage soft contact lenses 409
Bard-Parker handle 523
Bare sclera technique 496
Basal cell carcinoma 142, 142f
Basal vitreous detachment 321
Bassen-Kornzweig syndrome 343
Bayonetting sign 300f, 301f
Bean-pot cupping 300, 302f
Beer's knife 541, 541f
Behçet's disease 238
Bell's palsy 195f, 410
Bell's phenomenon 133
Benzalkonium chloride 63
Bergmeister's papilla 360, 360f
Berlin's edema 449
Beta-blockers 53
Beta-irradiation 167
Bevacizumab 60
Bicarbonate system 31
Bick's procedure 125, 125f
Bielschowsky's head tilt test 436f
Bifocal lenses 88f, 88
Binocular loupe 97
Binocular single vision 420
grades of 421f
Binocular vision 85
state of 431
Biologic response modifiers 57, 58
Biomicroscopy, ultrasonic 374
Biopsy
excisional 392
incisional 392
Birth trauma 288f
Bitot's spot 173f, 511f, 512
Bjerrum scotoma 305
Bjerrum screen 303
Black eye 443f
Blackball hyphema 446
Blade breaker 523, 524f
Bleeding
points, hemostasis of 470
sources of 445
Blepharitis 135
sequelae of 136
squamous 135, 136f, 137
types of 135
ulcerative 136, 136f, 137
Blepharochalasis 129, 129f
Blepharophimosis 120, 121
syndrome 121f
Blepharoplasty 398
Blepharoptosis 130
Blepharospasm 134
essential 134
Blind spot 421
baring of 305
Blinding trachoma 157
Blindness 502
causes of 505
childhood 517
curable 503
data of India 504
in different age groups 505t
in World and India, causes of 503t, 504f
ipsilateral 44
prevalence of 504
preventable 503
prevention 502
uniform definition of 502
Blood 335
agar 176
aqueous barrier 48
dyscrasias 171
ocular barriers 48
retinal barrier 48
sugar postprandial 273
vessels 72
baring of 301f
choroidal 94
disturbances of 327
retinal 328
Blow-in fracture 451
Blow-out fracture 450, 451f
Blue sclera 214, 214f
Blue-dot cataract 258, 258f
Blue-field entoptoscopy 272
Blunt injury 315, 443
Blunt trauma 446f
Board iridectomy 487
Bohr's theory 558
Bone 1
density 391
frontal 21
gouge 545f
maxillary 21
punch 544, 544f
zygomatic 21
Bony orbit 21f
Boric acid 49
Botulinum toxin 409
Bourneville's disease 330
Bowen's disease 168
Bowman's discission needle 532, 532f
Bowman's layer 4
Bowman's membrane 4, 27
termination of 6
Brachycephaly 386
Branch retinal vein occlusion 334, 336, 336f, 564
Bread-crumbs appearance 275
Breast carcinoma 378f
Bridle suture 470
Bromhexine 409
Brown's syndrome 440
Bruch's membrane 1, 10
abnormalities of 327
B-scan
ultrasonography 569f
uses of 569
Bulbar conjunctiva 108
examination of 108
Bull's eye maculopathy 61
Bullous detachment 351f
Buphthalmos 31, 287, 287f, 288f, 415
Bupivacaine 53
Burns 459
alkali 459, 460f
Busacca's nodule 228, 228f
C
Caldwell view 391
Caliper 547, 548f
Caloric test 420
Cam stimulator therapy 425
Cambridge contrast sensitivity test 38
Canaliculitis 412
acute 412
chronic 413
Canaliculus, occlusion of 413
Candle-wax dripping 233
Can-opener capsulotomy 471, 471f
Canthoplasty, lateral 125
Capsular tension ring 280
Capsule, anterior 12
Capsulectomy 278
Capsulo-iridectomy 278
Capsulorhexis
completion of 473f
continuous curvilinear 471
forceps 533, 533f, 534, 534f
initiation of 473f
posterior curvilinear 262
Capsulotomy, anterior 471f
Caput medusae 401
Carbohydrate metabolism 27
Carbonic anhydrase inhibitors 53
side effects of 310
topical 54, 309
Carbon-steel blade 524f
Carcinoembryonic antigen 380
Carcinoma 403
bronchogenic 377f
in situ 168
Carotid
artery, external 23
cavernous fistula 401
plexus 21
Caruncle 1, 17
Casoni's test 391
Castroveijo's needle holder 531
Cat's paw retractor 544, 544f
Cataract 221f, 256, 456, 505, 516, 584
anterior
capsular 183
polar 220f, 259, 259f
bilateral 276f
senile mature 262f
classification of 257, 269f
congenital 257f, 326, 382, 382f, 505
coronary 259, 260f
cortical 28, 262, 263
cryoextraction of 528
cupuliform 263, 266, 266f
developmental 257
diabetic 276, 277f
extraction 231
complications of 326
intracapsular 273, 477, 477f, 478, 529
hypermature 265f
immature 265f, 268
incipient 263
management of 268
mature 201f, 265f, 268
morgagnian 265
morphological types of 258f
nuclear 28, 266, 266f, 267f, 269
operation, advantages in 523
pathogenesis of 28
posterior
cortical 266, 275
polar 259, 259f
punctate 258
pyramidal 259
radiation 463f
reduplicated 259
rosette-shaped 448, 448f, 449f
rubella 260
sclerotic 265
soft 262, 263
steroid induced 55
sunflower 457, 457f
surgery 211f, 579
complications of 482
overall complications of 481
traumatic 118, 277, 448f, 455
typical rosette-shaped 448
zonular 260, 260f
Caterpillar hairs 97, 457
Catford drum test 261
Cattle-track 333
Cavernous sinus 24
anatomy of 25f
thrombosis 400
tributaries of 24f
Cell 228f
density 576
paucity of 26
release of 219
shape 576
size 576
Cellulitis
orbital 393, 394f, 395
pre-septal 139f, 393, 393f
Central retinal vein 24
occlusion 240f, 334, 559
nonischemic 335, 335f
Central vision, loss of 347
Centrocecal scotoma 364f
Cerebellopontine angle tumor 495f
Cerebrospinal fluid, obstruction of 367
Certebrate visual cell 13f
Cervical sympathetic nerve, paralysis of 19
Cevelamine 409
Chalazion 139, 140f
forceps 540, 540f
marginal 140, 140f, 141
mimicking 143
moderate to large 141
operation 496, 497f
recurrent 143
scoop 541, 541f
Chalcosis 456, 457
bulbi 457, 457f
Champagne cork appearance 369f
Chandler's syndrome 246f
Chemical
burn 462f, 571
injury 126f, 316, 459
Chemosis 145, 401
severe 394f
Chemotherapy 381
Cherry-red spot 333, 333f
Chiasma
lateral sides of 44
middle of 44
Chiasmal junction 44
Chicken eyes 511
Chlamydia oculogenitalis 151
Chlorambucil 58
Chloramphenicol 50
Chlorobutanol 63
Chlorolabe 39
Chloroquine 61
Chlorpromazine 61
Cholinergic drugs 51
Choriocapillaries 10
Choroid 10, 449
benign melanocytoma of 375f
gyrate atrophy of 248, 248f
malignant melanoma of 375
metastatic carcinoma of 377, 377f
transverse section of 10f
Choroidal
coloboma, incomplete 222f
detachment 249, 250, 345
rupture 449, 449f
Choroideremia 248
Choroiditis 233
central 233f
disseminated 233f
Choroidopathy
geographical 249
serpiginous 249
Chromatic aberration 67, 67f
Chromosomal abnormalities 378
Chromovitrectomy 56
Cicatricial 123, 125
ectropion 126f
Cicatrization, atage of 180
Cilia forceps 537
Ciliary arteries
long posterior 23
short posterior 10, 23
Ciliary band, irregular widening of 447f
Ciliary block 468
glaucoma 317
Ciliary body 9, 447
melanoma 374f
tumors 373
Ciliolenticular block, concept of 318f
Cilium 19
Ciprofloxacin 50
Circumlinear vessels, baring of 300
Clamp 547, 548f
Clear lens extraction 77
Clindamycin 237
Clofibrate 356
Cloquet hyaloid canal 12
Clover-leaf skull 386
Coat's disease 331, 331f, 382, 383, 383f
Cocaine 53
Cockayne's syndrome 344
Cogan's syndrome 200
Colibri forceps 531, 531f
Collagen vascular disorders, systemic 365
Coloboma 120, 221, 252
choroidal 221f, 382, 384
typical 221
complete 221f
Color blindness 40
acquired 41
tests for 41
Color sense 38
Color vision 424
change in 82
test 272
theories of 38
trichromatic theory of 39f
Colored halos 263, 293
Combination therapy 311
Commotio retinae 449
Communicating vein 24
Community Eye Health Care 507f
Complicated cataract 229, 275
after surgery 235f
Computed tomography 369
scan 391
Computer vision syndrome 582
Concomitant squint 427, 434
evaluation of 430
treatment of 431
Concussion cataract 447
types of 448
Confocal scanning laser ophthalmoscope 566
Congestion 145
ciliary 126, 146f, 146t, 219
conjunctival 126, 146f, 146t
Conical protrusion 206f
Conjunctiva 6, 15, 108, 133, 193, 291, 405, 406f, 444
chemosis of 147f
diseases of 144
goblet-cell count of 408
hyperemia of 144
limbal 108
lower palpebral 108
lymphatic drainage of 25f
malignant melanoma of 170f
palpebral 108
symptomatic conditions of 171
wounds of 451
Conjunctival diseases 144
Conjunctival flap 470f
preparation 470
Conjunctival papillae 147f
Conjunctival xerosis 172, 512
bilateral 511f
severe 172f
Conjunctivitis 144, 160f
acute
hemorrhagic 147f
mucopurulent 148, 149f
adult purulent 150
allergic 145, 159, 214
angular 153, 153f
follicular 154
giant papillary 129, 164f, 214
hyperacute purulent 151
inclusion 154
infective 145
membranous 152, 152f
neonatal 415
Newcastle 155
phlyctenular 160, 161f
purulent 150, 150f
simple
allergic 159
chronic 153
swimming bath 154
vernal 129, 162, 162f
Conjunctivoplasty, medial 125
Connective tissue 2
disorders 216
Contact lens 61, 73, 84, 85, 88, 212, 212f, 214
complications of 214
drug impregnated 49
indications of 213
scleral 128
soft 212f
wearing 213f
Contact tonometry 284f
Contrast sensitivity 36, 37
tests 38
Contrecoup effect 443
Contusions 443
Convex hypopyon 188f
Corectopia 219, 246f
Cornea 2, 26, 72, 109, 158, 193, 288, 405, 406f, 444
absence of pigment in 26
and lens, roles of 65
avascularity of 26
blood staining of 444, 445f
central 26
corneal staining 109
diseases of 78, 175
dystrophic condition of 177
guttata 204, 204f, 205f
inflammation of 178
operations of 487
perforation of 198
peripheral 26
recurrent erosions of 126
rusty discoloration of 457, 457f
shape 109
size 109
stroma 1
surface 109
transverse section of 4f
wounds of 451
Corneal abrasion 109f, 444f
Corneal abscess 186f
Corneal button, suturing 490
Corneal degeneration 200, 200t
Corneal deposits 579
Corneal diameter, measurement of 288
Corneal diseases 179
evaluation of 175
Corneal disorders 208
Corneal dystrophy 200, 200t
Corneal edema 177, 177f, 205f, 312f
long standing 111
severe 491
Corneal epithelial cells 7f
Corneal epithelium 1, 179
Corneal facets 181
Corneal fibroblasts 5
Corneal filaments 405f
Corneal fistula 183, 184f, 185
Corneal flap being lifted 78
Corneal guttata 205, 576f
Corneal indentation 296
Corneal internal incision 473f
Corneal opacity 181f
case of 111
causes of 111
congenital 177
leukomatous 110f
macular 110f
superficial 126
Corneal penetration 48
Corneal reflection test 430
Corneal rupture 444, 452f
Corneal scissors 525f
Corneal scraping 574
Corneal sensation 111, 175
causes of loss of 111
Corneal sensitivity 133
Corneal spring scissors 525, 525f
Corneal stroma 7
Corneal sutures 466
Corneal thickness 175, 286
peripheral 296f
Corneal topography 575
normal 575f
Corneal transplantation 409
Corneal trephine 548
parts of 548f
Corneal ulcer 182f, 184f, 195f, 315, 416f, 492f, 512
healing of 180
pathological stages of 179f
perforated 183f
Corneal vascularization, causes of 111
Corneolimbal junction 6
Corneoscleral button 494
Corneoscleral suturing 472f
Cortex 11
Corticosteroids 54, 61, 398
prolonged use of 318
systemic 231, 232, 234, 395, 409
topical 196, 409
Cotton wool spots 242f
Cover test 427, 430
Cranial neural crest cells 1
Craniofacial anomalies 428
Craniofacial dysostosis 387
Craniosynostosis 386
Crede's prophylaxis 49, 151
Crescent blade 536f
Crescent knife 536
Cruozon syndrome 387f, 389f
Cryoinjury 561
Cryotherapy 126, 142, 232, 381, 561
Crypts, conjunctival 19
Crystalline lens 1, 3, 11, 447, 456
adult 12f
primordial of 1
Cuneiform 263
cataract 263, 263f
Cupid's bow 163
Curvature, radius of 3, 66
Cyclitic membrane 229, 230
Cyclocryotherapy 298, 485, 485f
Cyclopentolate 52, 61
Cyclophoria 426
Cyclophosphamide 58
Cyclophotocoagulation 486
Cycloplegia 90, 554
Cycloplegics 51, 52
uses of 52
Cyclosporine 58, 409
Cyclovertical muscle palsy 435
Cystitome 533f
Cystoid macular edema 45, 56, 338, 338f, 339f, 342f, 478, 564
Cysts
conjunctival 167
implantation 167f
implantation 167, 250
lymphatic 167
macular 449
parasitic 167
retention 167
Cytomegalovirus 50
retinitis 240, 240f
Cytotoxic agents 395, 398
D
D’Ombrian's technique 496
Dacryoadenitis
acute 402, 402f
chronic 403
Dacryocystectomy 417, 464, 497, 521
Dacryocystitis 413
acute 414, 414f
adult chronic 415
chronic 414, 416f
congenital 415f
chronic 415
resolving acute 414f
Dacryocystography 571
intubation 411
Dacryocystorhinostomy 415, 417, 464, 498, 498f, 521
Dacryops 403
Dacryoscintigraphy 411
Dark adaptation 35, 36
curve 35f
delayed 36, 75
Dark room test 91, 295, 554
Day care
eye surgery 465
surgery
advantages of 465
disadvantages of 465
Decentration 67
Decompensation, endothelial 205
Decompression, orbital 398
Deep anterior lamellar keratoplasty 488, 489f, 490, 579
Degenerations, conjunctival 164
Dellen and superficial vascularization 406f
Dendritic keratitis 190, 190f
Dermatitis
contact 135, 135f
irritant 135
Dermatochalasis 129, 129f
Dermolipoma 168
bilateral 168f
Descemet's membrane 2, 4, 5, 7, 175
endothelial keratoplasty 488, 560, 579
Descemet's stripping endothelial keratoplasty 488, 491f, 579
Descemet's tear 288f
Descemetocele 181, 182f, 185
Desmarre's lid retractor 538f
Deuteranope 40
Deviation
primary angle of 434f
secondary angle of 420, 433, 434f
De-Wecker's iris scissors 527, 527f
Dews classification 408
Dextroelevation 419
Dextroversion 419
Diabetes 34, 334, 505, 517, 559
juvenile 276f
mellitus 357
Diabetic eye diseases, advanced 356
Diabetic retinopathy 264, 352, 503, 516, 565, 584
background 338
management of 356
pre-proliferative 354
progression 585
proliferative 323, 353f, 355, 565f
recent classification of 355
Diarrhea 515
Digital tonometry 118, 119f, 283, 283f
Diktyoma 373
Dilator pupillae 9, 44
Dioptric imagery 68
Dioptric power 4
Diplopia 85, 128, 166, 422, 430, 433, 450
binocular 423
charting 437, 437f, 552
double 450
heteronymous 423f
homonymous 423f
intermittent 426
monoclonal 252
pathological 422, 423f
physiological 422
Dipyridamole 356
Direct ophthalmoscope 93, 94, 94f, 328, 551
procedure of 94f
Disc
edema 367f
causes of 367
holding forceps 540, 540f
neovascularization of 355f
Disciform keratitis 191, 192f, 193
Disodium cromoglycate 163
Distant vision 103
impaired 75
Distichiasis 121, 126
District Blindness Control Society 509
Donor
age of 493
cornea, trephination of 490
eye
collection 494, 546
preservation of 494
storage of 494
tissue, evaluation of 494
Double ring sign 361
Drug delivery system 48
Drusen
central
hard 340f
soft 340f
Dry eye 59, 211f, 403, 407f
diseases, outline of 410
levels of severity of 408
severe 406f
syndrome 403, 584
Dua's classification 461
Dua's layer 5
Duane's retraction syndrome 439, 439f
Duochrome test 67
Dye disappearance test 562
Dysostosis, mandibulofacial 387
Dysplasia, retinal 382
Dystrophies 203
anterior 203
posterior 204
E
Eales’ disease 323, 565
Eccentric fixation 424
Ecchymosis 444f
Eclipse
blindness 463
burn 463
Econazole 51
Ectatic
cicatrix 181
disorders 579
dystrophies 206
Ectoderm, surface 1
Ectopia lentis 117, 254, 313, 326, 477
congenital 279
et pupillae 255
familial 255
Ectropion 120, 124, 136
uveae 247f
Edema 145
epithelial 205, 214
Edinger-Westphal nucleus 25
Edridge-Green lantern test 42
Elastic lamina, anterior 4
Electrocardiogram 273
Electrodiagnostic tests 32
Electrodiathermy 126
Electrolysis 126
Electrolytes 30
Electromagnetic spectrum, total range of 38f
Electro-oculography 32, 33f
Electroretinography 34, 34f
response 457
waveforms 34
Elliot's scleracorneal trephine identification 540, 540f
Elliptical tip 537f
Elschnig's pearl 278
Elschnig's spots 352
Embryotoxon
anterior 201
posterior 177
Emmetropia 70
Emphysema 443
orbital 389
Endophthalmitis 224, 243, 379, 453f
after cataract surgery 243f
endogenous
bacterial 243f
fungal 243f
Endothelial cell 205f
count, low 576f
density 205f
regular arrangement of 26
Endothelial transport system 26
Endothelium 1, 2, 4, 5, 7, 27
anterior 8
vascular 1
Enophthalmos 19, 47, 390, 450
Entoptic imagery 68, 69
Entropion 120, 121, 547, 548f
congenital 124f
Enucleation 381, 499, 500, 545, 545f
indications of 545
Enzyme-linked immunosorbent assay 380
Epicanthus 120, 120f
Epilation 126
forceps 537
Epinephrine 338
Epiphora 410
Episclera 6
Episcleritis 215, 216
nodular 215, 215f
simple 215
Epithelial cells 26
regular arrangement of 26
Epithelial defect, persistent 462f
Epithelial lesions, special stains for 102
Epithelioid cell type 375
Epithelioma, intraepithelial 168, 169f
Epithelium 1, 4, 5, 27, 175
conjunctival 1, 7
pigment 13
posterior two-layered 9
Erythrocyte sedimentation rate 161, 366
Esophoria 426
uncompensated 428
Ethambutol 41, 41
Ethmoid bone 21
Ethylene oxide 556
European Group of Grave's orbitopathy 397
Evisceration 499, 499f
scoop 545f
spoon 545
Excessive tear
formation 402
secretion 402
Exenteration 142, 381
Exophoria 426, 426f, 428
Exophthalmometry 390
Exophthalmos 388, 389
Extracapsular cataract extraction 81, 114, 262, 273, 274, 478, 528, 559
Extrafoveal fixation 424
Extraocular muscles 1, 16, 21, 23
actions of 17, 418f
palsy 439
sheath and tendon 1
surgery 398
Eye
anterior segment of 7f
artificial 501
bank
and donor cornea 493
objectives of 493
blood supply of 22, 23f
care 514
chambers of 12
clinical examination of 103
development of 2
diseases 584
organic 581
pregnancy-specific 585
donation counselor 494
drops 48
emmetropic 90, 554
examination of 96
extraocular muscles of 17f
history-taking 96
hypermetropic 90, 554
layer, anterior segment of 98
movements, supranuclear 418, 420
myopic 554
nerves of 24
optical system of 65
parallel rays, emmetropic 86
physiology of 26
posterior five-sixths of 5
pseudophakic 178f
resolving power of 36
seeking flies 156
speculums 519
surgeries 464
suspensory ligament of 16
Eyeache 426
Eyeball 21, 288
arterial supply of 23f
embryology of 1
fixation forceps 521
gross anatomy of 3
human 4f
malignant tumors of 546
small 72
venous drainage of 23f
Eyelashes 1, 107, 413f, 457, 458f
matting of 108f
Eyelids 1, 17, 410, 443, 462f
abnormalities of 120t
coloboma of 121
lymphatic drainage of 25f
muscles of 18
regional block of 53
separation of 470
Eylea 60
F
Face, anhydrosis of 19, 47
Facial
block 53, 467, 468f
nerve 25
palsy 127
vein 24
Faden procedure 432
Farnsworth-Munsell 100 hue test 42
Fasanella-Servat operation 133
Fast regurgitation 412, 542, 543f
Fat 1
Femtosecond laser 559, 560
cataract surgery 476
for presbyopia correction 560
in corneal transplantation 560
in ophthalmology 559
in refractive surgery 559
Femtosecond lenticule extraction 559
Fetal nucleus 12
Fever, pharyngoconjunctival 155
Fibrous layer 16, 18
Filamentary keratopathy 211, 211f, 406f
pathogenesis of 405f
Filamentous fungus 187f, 188f
Fine needle aspiration cytology 380, 392
Finger tension 283
Fixation
axis 68
forceps 521, 521f
point 421
Fleischer's ring under cobalt blue light 207f
Floppy eyelid syndrome 129
Fluconazole 51
Flucytosine 51
Fluid, intraretinal 566
Fluorescein
angiography 335, 338, 340, 341, 376, 380
dilution test 408
dye 562
intravenous 562
uses of 562
paper strip 562
staining 102, 109, 209f, 406, 406f
Fluorescent treponemal antibody absorption 218, 230
Flying corpuscles 69
Fogging method 93
Folic acid antagonist 237
Folinic acid 237
Follicles 147, 156
conjunctival 147f
limbal 155f
Follicular conjunctivitis, acute 154, 155f
Forced duction test 397, 438, 451
Foreign body 454f
cornea 454f
needle 539f
spud 538539, 539f
Foster-Fuchs fleck 76
Foster-Kennedy syndrome 367
Four-point iridotomy 487
Fovea centralis 14
Foveal avascular zone 563
Foveal electroretinogram 272
Foveal reflex 94, 328
Foveola 14
Foveolar avascular zone 15
Fox procedure 123f
Fragilitas ossium 215
Friedreich's ataxia 344
Frill excision 499
Fuchs’ dystrophy 205, 205f, 576f
Fuchs’ heterochromic cyclitis 223, 225, 228, 234
Fukala's operation 77
Functional acuity contrast test 38
Fundal glow 93, 328
Fundus 20, 233
autofluorescence 565, 566f
contact lens 93
examination of 93, 328
fluorescein angiography 337, 337f, 339f, 562, 564, 565f
phases of 563f
general 76
hypermetropic 73f
normal 93f, 327f
peripheral 328
Fungal
corneal ulcer 187, 187f
ring-shaped 188f
endophthalmitis 51
keratitis 187f, 188f
Fusion 421
G
Galactokinase deficiency 277
Galactose cataract 276
Galilean system 551
Ganciclovir 50
ophthalmic gel 50
Ganglion
cell layer 13, 14
ciliary 1, 21
Gatifloxacin 50
Gaze, six cardinal positions of 419
Gel-tears 409
Gene therapy 344
Gentamycin 50
Gerontoxon 201
Ghost
cell glaucoma 319
vessels 200f
Giant cell arteritis 365
Giant drusens 360
Giant papillae 56
Giemsa staining 148
Glands 1
Glass-blower's cataract 277, 463, 463f
Glaucoma 245, 282, 286, 315f, 505, 516, 517, 579, 584
absolute 110
acquired 289
aphakia 317
choroiditis 315
classification of 287
cockpit of 6
congenital 288f, 415, 505
diagnosis 579
drainage devices 311
epidemic dropsy 319
following ocular surgery 317
hemolytic 319
hemosiderotic 319
hypersecretion 319
infantile 287, 287f, 288f
inflammatory secondary 314
inverse 253
keratitis 315
neovascular 314, 314f
normal tension 287
operations 483
phacoanaphylactic 313
phacogenic 256
phacolytic 255, 256f, 312, 313f
phacomorphic 256, 312, 312f
pigmentary 313, 314f
primary congenital 287f
progression 579
pseudoexfoliative 311, 312f
pseudophakia 318
scleritis 315
secondary 231, 311, 379, 450
steroid induced 55, 316, 317
surgery 273
complications of 484
traumatic 315
with intraocular tumors 316
Glaucomatocyclitic crisis 223, 240, 315
Glaucomatous field defects 304, 306f
Globe
abnormal length of 70
injury, closed 443
perforation, signs of 452
rupture of 444
Glutaraldehyde solution 557
Glycocalyx layer 30
Glycolysis 27
Golden ring, appearance of 475f
Goldenhar's syndrome 168, 168f
Goldmann applanation tonometer 285, 285f, 553
Goldmann perimeter 303
Goldmann three-mirror contact lens 93
Goniolenses 294, 294f
Gonioprisms 294
Gonioscope 114
central lens of 551
Gonioscopy 289, 293, 295f
direct 294
indirect 294
optical principle of 294f
types of 294
Graefe's cataract knife 527
Granular dystrophy 203
Granuloma, pyogenic 416f
Grave's disease 395, 584
ophthalmic 395
Ground-glass appearance 199
Guarded eye speculum 519f, 520
H
Haab striae 288f
Haemophilus
aegyptius 148
influenzae 393
Haidinger's brush 553
Hair follicle 19
Haller outer vessel layer 10
Halothane 289
Hand-held applanation tonometer 285
Haptics 481
Hard
cataract 266
drusen 339
exudates 354
lenses 212
Hasner valve 21
Hassall-Henle's bodies 5
Head injury 171
Head posture 430
abnormal 436
compensatory 433
Headache 426, 580, 581
cluster 583
ophthalmic evaluation of 582
Heat cataract 277
Hemangioma 141
capillary 142
choroidal 330, 378
strawberry 142
Hematological tests 408
Hemianopia 43
binasal 44
bitemporal 44
contralateral homonymous 44
Hemorrhage 46
bilateral subconjunctival 172
choroidal 449
expulsive 183, 545
flame-shaped 354
intraocular 319
orbital 389
retinal 449
splinter 300, 366f
subconjunctival 145, 171, 171f, 450, 444f
petechial 149f
subhyaloid 356f
Hemostat 521f
Henle's glands 164
Herbert's pits 156, 158, 159f
Heredo-macular dystrophy 566f
Herpes simplex
viral keratitis 189
virus 50, 190f192f
Herpes zoster 235
ophthalmicus 192, 193f
virus 50
Hertel's exophthalmometer 390
Hess screen
chart 438, 438f
test 552
Heterochromia 228
causes of 114
hyperchromic 224, 224f
hypochromic 223, 224f
iridum 223
simple congenital 223
Heterochromic iridis 224
Heterograft 490
Heterophoria 426, 427, 581
Hexose monophosphate shunt 27
Hirschberg's corneal reflection test 431f
Hollenhorst plaque 333
Holmes-Adie's pupil 47
Holmgren's wools test 42
Homer-Wright rosette 381, 381f
Homocystinuria 254f, 255
Homograft 488
Honan's balloon 469
Hooch poisoning 365
Hordeolum
external 138, 139f
internal 140, 140f, 141
Horizontal rectus muscle, paralysis of 435
Horner's syndrome 19, 47, 223
pupil 47f
Horner-Tranta's dots 162f, 163
Horse-shoe tear 346f
Hospital Cornea Retrieval Program 494
Hot fomentation 185
Hruby lens 93
H-shaped incisions 498
Hudson-Stahli's line 176f
Hughes classification, modified 461
Human eye, normal 570
Humphrey field analyzer 304f, 307f
Hutchinson sign 192, 193f
Hutchinson, salmon patch of 199
Hyalocytes 12
Hyaloid
artery, persistent 360
face, anterior 12
Hyaluronidase 53
Hydatid 167
Hydrodelamination 475
Hydrodissection 473f
Hydrops 207f, 416
Hydrostatic sac massage 415
Hydroxy propyl methyl cellulose 318
Hydroxyapatite implant 501
Hypercyanescence 568
Hyperfluorescence 564
Hypermature stage 264
Hypermetropia 70, 71, 428, 581
acquired high 82
curvature 71
facultative 71
high 213
latent 71
optic of 72
types of 73
Hyperosmotic agents 53, 296
Hyperphoria 426
Hypertelorism 387, 388, 388f
Hypertension 171
control of 356
duration of 350
idiopathic intracranial 367
malignant 367f, 582
Hypertrophy
follicular 157f
papillary 157
Hyperviscosity syndrome 334
Hyphema 114, 445, 446f
causes of 445
traumatic 445f
Hypocalcemia 260
Hypofluorescence 564, 568
Hypopyon 180f, 229f
corneal ulcer 185, 186f, 187f, 416
inverse 113f
Hypotony 450
Hypovitaminosis-D 260
Hypoxemia 462
I
Idoxuridine 50
Imidazoles 51
Immunosuppressive therapy 196
Incubation period 150
Indirect ophthalmoscopy 93, 94, 328, 329, 347, 376, 379
procedure of 95f
Indocyanine green angiography 567, 567f
Infections 456
endogenous 178
exogenous 178
modes of 178, 187, 189
ocular 574
Infectious diseases 505
Inferior rectus 17, 22
muscles, entrapment of 450
Inflammation
acute 402
chronic 402
granulomatous 362
Inflammatory orbital disease 394, 394f
Infliximab 58
Infraorbital foramen 21
Infraorbital nerve anesthesia 450
Injection
adrenaline 467
bupivacaine 467
dexamethasone 55
hyaluronidase 467
hydroxycobalamin 364
intravitreal 49, 54, 244, 573
lignocaine 467
peribulbar 469f
subconjunctival 49, 185, 572
superior 468
Injury
direct 433
industrial 505
mild 452
ocular 443
penetrating 315, 451, 452f, 458f
perforating 451, 453f
Intracapsular forceps 527, 528f
extraction, complications of 528
Intracorneal ring 77
segments 560
Intraocular foreign body 453, 455, 455f, 456, 456f, 458f, 548
diagnosis of 458
localization of 458
removal of 458
Intraocular lens 52, 114, 445f, 478, 561
aspheric 38
dialler 535, 536f
foldable 475
hydrophilic foldable 480f
implantation 73, 477, 478f
secondary 84
insertion 471
multifocal foldable 480f
parts of 480f
power, calculation of 270
specifications of 481
Intraocular pressure 26, 98, 177, 282, 465, 520, 585
factors modifying 282
measurement of 283
Intravitreal drug-delivery, sustained-release 55
Iodopsin 32, 39
Iridectomy 458, 486, 526
broad 527
complete 487, 527
different types of 486f, 526f
inferior 527
mark, peripheral 115f
method of 526
peripheral 472, 484f
types of 486, 526
Iridencleisis 484
Irideremia 447
Iridocorneal endothelial syndromes 245
Iridocyclitis 226, 314, 315f
acute 227f, 229f
fibrinous 318
healed 229f
signs of 227f
traumatic 447, 447f
Iridodialysis 446, 446f, 447f
Iridodonesis, causes of 114
Iridoschisis 246, 447
Iridotomy 487, 527
four point 527
Iris 7, 8, 114, 228, 292, 446, 458
antiflexion of 446
atrophy 228
essential 246f
atypical coloboma of 222
bombe 114, 229, 229f, 487
coloboma 221f
atypical 222f
incomplete 22f
cysts 250
drug-induced 251
primary 250, 251f
secondary 250, 251f
forceps 526, 526f
heterochromia of 223f, 379, 457
hole 456
melanoma 374f
metastatic carcinoma of 378f
nevus 373, 373f
syndrome 246f
nodules 228
pattern, loss of 228
pigment epithelium 1
prolapse 183f, 452f
repositor 530, 530f
retroflexon of 447
shadow 117, 117f, 264
sphincter 1
stroma 1
surface pattern of 8f
total inversion of 447
transillumination 223f
transverse section of 9f
tumors of 373, 487
typical coloboma of 222
Irrigation aspiration two-way cannula 534
Irrigation, sterile cotton-swab 455
Irvine-Gass syndrome 338
Ischemia, limbal 460f
Ischemic central retinal venous occlusion 335, 335f
Ischemic optic neuropathies, arteritic anterior 366
Iseikonic lenses 85
Ishihara's charts 41f
Ishihara's test 41
Isoniazid 235
Isopropyl alcohol 557
Isosorbide 296
Itching, intense 162
Itraconazole 51
J
Jackson's cross cylinder 80, 80f, 555, 556f
Jaw-winking phenomenon 133
Jone's classification 157
Jugular vein 24
K
Katzin's method 466
Katzin's technique 466f
Kayser-Fleischer's ring 176f, 457
Kearns-Sayre syndrome 344
Kelman multiflex 479f
Keratan sulfate 5
Keratectomy, phototherapeutic 202
Keratic precipitates 97, 112, 219, 226
Keratitis 178, 210, 211, 579
bacterial 179
diffuse superficial punctate 209f
exposure 194
geographical 190, 191f
healed exposure 127f
herpetic 111
interstitial 199, 200f
lagophthalmic 194
marginal 136, 195, 195f
mycotic 187
neuroparalytic 111
neurotrophic 194
nummular 193, 193f
peripheral ulcerative 195
phlyctenular 160, 197, 197f
primary herpetic 190
subepithelial punctate 209f
superficial 178
punctate 155f, 208, 208f, 211f, 405
syphilitic interstitial 199
tuberculous interstitial 200
viral 189
Keratoconjunctivitis 56, 160f
acute herpetic 155
epidemic 154
phlyctenular 160
sicca 404, 405f, 406f
superior limbic 129, 209, 210f
vernal 163f
Keratoconus 206, 206f, 207f, 575f
posterior 208
treatment of 207
Keratocytes 5
Keratoglobus 208
Keratomalacia 111, 212, 404, 512, 512f, 513f
Keratome 546, 546f
angular 536, 536f
Keratometer 92f, 553
Keratometry 80, 90, 91
types of 92f
Keratomileusis 77
myopic 77f
Keratomycosis 51, 187
Keratopathy 61, 206, 210, 274, 488
band-shaped 201, 201f, 230, 231, 235f
bullous 177, 178f, 205, 205f
mild striate 211f
pseudophakic bullous 491
punctated 405f
Keratoplasty
anterior lamellar 488, 489f, 490, 560
aphakic 326
combined 490
indications of 489t
lamellar 167, 490
photorefractive 73, 77, 559
phototherapeutic 559
posterior lamellar 488, 490
procedures, endothelial 526
simple 490
therapeutic penetrating 185
types of 488f
Keratoprosthesis 409, 490
Keratotomy
astigmatic 560
radial 76, 77
Kestenbaum's operation 442
Ketoconazole 51
Kinetic techniques 303
Kirbi's methods 528
Kissing choroidals 250f
Koeppe's goniolens 553
Koeppe's nodule 228
Krause gland 1820
Kreb's cycle 27
Krukenberg's spindle 313, 313f
Kuhnt-Szymanowski procedure
Byron-Smith modification of 125
modified 125f
L
Lacrimal apparatus 20, 118, 450
diseases of 402
parts of 20f
Lacrimal artery, recurrent 21, 22
Lacrimal bone 21
Lacrimal cannula 542, 542f
Lacrimal dissector with scoop 543, 543f
Lacrimal drainage system, defects in 402
Lacrimal fistula 414, 414f
Lacrimal gland 1, 20, 21
abnormalities of 402
dacryops of 403f
diseases of 402
tumors 403
Lacrimal nerve 21
Lacrimal papilla 20
Lacrimal passage
diseases of 412
patency of 270
proper 413
syringing of 412f
Lacrimal probe 546
different size 547f
Lacrimal puncta 118
Lacrimal sac 20, 21, 118
bilateral mucocele of 416f
carcinoma of 417f
dissection of 498f
tumors of 417
Lacrimal system 1
Lactate dehydrogenase 380
Lacus lacrimalis 17
Lagophthalmos 127, 127f
nocturnal 127
Lamellar separation, stage of 263
Lamina fusca 6, 10
Laser 77
assisted stromal in situ keratomileusis 77
common types of 558
indications of 559
interferometry 272
iridotomy 487
polarimetry, scanning 577
properties of 558
therapy 310
types of 558t
Lattice theory 26
Laurence-Moon-Biedl syndrome 343, 344f
Leish's nodules 330f
Lens 7, 27, 117, 229, 458
abnormal position of 71
absence of 252
anterior dislocation of 281f
aplanatic 67
capsular tear 452f
capsule 11
pseudo-exfoliation of 312f
coloboma of 253f
color of 117, 267
congenital anomalies of 252
cortex 12
decentration of 78
diseases of 252
dislocation of 183, 280, 281f, 448
disorders 311
epithelium 11
generates energy 27
expressor 529, 529f
hydrophilic 213
monofocal 88
nucleus 471
delivery of 471f
opacities classification system 269f
ophthalmic 550
particle glaucoma 312
refraction of 65
removal of 71
shape, anomalies of 252
soft 213
spatula 529, 529f
spherical 550
structure of 11f
subluxation of 279, 279f, 448
substance 11
surface, anterior 118
therapeutic bandage 213
unifocal 88
wounds of 451
Lensectomy 273
Lenticonus
anterior 252, 253f
posterior 253, 253f
Lesions
affecting cranial nerve supplying muscle 433
nuclear 433
site of 46
Leukocyte count, differential 161
Leukokoria 252, 382
Leukoma 18, 185, 513
adherent 110f, 181f, 182, 185, 513
Levator
function, assessment of 133
palpebrae superioris 18, 22
muscle 19
recession of 133, 398
Lid 107, 193
ecchymosis of 172f
edema 108f
emphysema of 444f
hygiene 137
load operation 127
margin 17, 107
abnormalities of 122f
plate 547, 547f
retractor 538
inferior 123, 123f
scrub 137
shortening, horizontal 123, 125
sign 108
surfacing abnormalities 404
tumors 141
wounds of 451
Light
adaptation 36
amplification 558
diffraction of 67
reaction
consensual 116
direct 116
reflex 44
consensual 44
direct 44
pathway of 45f
pupillary 272
sense 35
wavelength of 39
Lignocaine hydrochloride 53
Limbal conjunctival autograft 167, 496
Limbal epithelial transplantation
cultivated 462
simple 462
Limbal stem cell 6, 7f
deficiency 163
Limbus 6
surgical anatomy of 6f
Lipid layer, outer 29, 30
Lipodermoids 168
Lipopolysaccharide, amount of 548
Lissamine green 406
staining 103, 407f
Lister's perimeter 303
Lithiasis 164
LogMAR chart, principle of 105f
LogMAR visual acuity 105f
Lower eyelid
ectropion of 124f
entropion of 122f
Lower lid 19
Low-tension glaucoma 287
treatment of 311
Lymphadenopathy, preauricular 148
Lymphangiectasis 167
Lymphangioma 389f
Lysozyme 29
M
Macropsia 327
Macula 76, 94, 328, 513
leutea 14
normal 563
Macular degeneration, traumatic 449
Macular edema, clinically significant 355f
Macular function tests 272, 324
Macular hole 449
formation 339f
Macular star 363f
Maculopathy
diabetic 354, 356, 357f
diffuse 356
Madarosis 136
Maddox rod 427, 555, 556f
test 272
Maddox wing 427
Magnetic foreign body 458
removal of 458f, 459f
Magnetic resonance
angiography 571
imaging 369, 391, 571
Magnocellular cells 40
Malignant cells 114
Malignant glaucoma 317, 317f
mechanism of 318f
Malnutrition, maternal 260
Manual small incision cataract surgery 273, 274, 472, 473f
Mapstone's test 295
Marcus-Gunn jaw-winking phenomenon 130, 130f
Marcus-Gunn pupil 45, 117, 347, 359
Marfan's syndrome 254, 254f, 255f
homocystinuria 117
Margin crease distance 132, 132f
Margin reflex distance 131
measurement of 132f
Mariotte, blind spot of 32
Mass, appearance of 166
Masson trichrome 204
Mastoid emissary vein 24
McCallan's classification 156
McCarey-Kaufman medium 494, 495f
McNamara's spoon 529
McPherson's forceps 535, 535f
Mechanical injuries, classification of 443
Median facial-cleft syndrome 387
Medulloepithelioma 373
Megalocornea 176, 176f
Meibomian carcinoma 143
Meibomian gland 18, 19
carcinoma 143
dysfunction 138
Meibomian seborrhea 137f
Meibomianitis 137, 137f
Melanocytes 1
Melanoma
benign 374
choroidal 375f
amelanotic 376f
malignant 167, 170, 373, 374, 374f
uveal 376f
Melanosis, precancerous 170, 170f
Membranectomy 278
Meniere's disease 441
Meningeal artery, recurrent 23
Meningeal veins, middle 24
Meningioma 399
sphenoidal-ridge 399
Mesoderm 1
Mesopic vision 36
Metaherpetic keratitis 191
Metamorphopsia 327
Metastatic lesions, histology of 381
Methicillin-resistant Staphylococcus aureus 394
Methotrexate 57
Methyl-alcohol amblyopia 365
Methylparaben 63
Methylprednisolone 55, 364
Micrococcus lysodeikticus 407
Microcornea 176, 176f
Microdendrites 193
Microkeratome 78
Microphthalmos 176, 176f
Micropsia 327
Microspherophakia 253
Middle aqueous layer 29, 30
Migraine 582, 583
hemiplegic 583
ophthalmoplegic 583
retinal 583
treatment of 584
trigger-factors, reduction of 584
types of 583t
Mikulicz syndrome 403
Miner's nystagmus 441
Minimally invasive glaucoma surgery 484
Minimum visual angle 36
Minus phakic intraocular lens 77
Miosis 19, 47
causes of 115
Miotics 51
pupil 229
sympatholytic 52
therapy 296
topical 51
uses of 52
Mission of Vision 2020 Program 517
Mitendorf's dot 259
Moist chamber method 494
Moll gland 18, 19
Molluscum contagiosum 242f
Mooren's ulcer 196, 196f
Morax-Axenfeld bacillus 49
Morning glory syndrome 361f
Moxifloxacin 50
Mucin 30
deficiency 404
Mucinous discharge 145
Mucocele 416
Mucopolysaccharidosis 110
Mucopurulent discharge 145
Muddy iris 228
Muller's muscle 18, 19, 133, 398
lower 18
upper 18
Muller's retractor 543, 543f
Multifocal lenses, progressive 88
Multifocal placoid pigment epitheliopathy, acute posterior 249
Multipurpose District Mobile Ophthalmic Units 508
Munson's sign 206f
Muramidase 29
Muscae volitantes 321, 360
Muscle
ciliary 7, 9
diseases of 433
hook 537
inferior oblique 450
lesions in 433
oblique 419
sheaths 22
smooth 9
Mutton fat keratic precipitates 227f
Myasthenia gravis 131f, 133
Mycophenolate mofetil 57
Mydriasis 116f
causes of 115
Mydriatic 51, 52
provocative test 295
sympathomimetic 52
topical 52
uses of 52
Myoid 13
Myopathy 61
Myopia 70, 73, 213, 345
clinical types 74
congenital 428
degenerative 264
etiology 73
fundoscopic findings in 75f
low 76
optic of 74, 74f
pathological 505
signs 75
symptoms 75
uncorrected 428
Myopic crescent 75f
Myotomy 431
marginal 431, 432f
N
Nagel's anamaloscope 42
Naphazoline 49, 144
Nasal
bleeding 450
examination 412
factors 413
mucosa 498
pack 498
veins 24
Nasociliary nerve 22
Nasolacrimal duct 21, 412
Natamycin 51
National Apex Center 1 518
National Program for Control of Blindness 502, 504
National Rural Health Mission 510
Nausea 433
Nd:YAG
laser capsulotomy 279f
peripheral iridectomy opening 298f
Near reflex 44, 45
Near vision 106
N chart 107f
Near visual center 88f
Nebular corneal opacity 110f
Necrosis, Flexner-Wintersteiner rosette area of 381f
Necrotic keratitis, stromal 191
Nepafenac 56
Nerve
fiber
course of 305f
layer 13, 14
frontal 21
lesions of 433
palsy
fourth 436
sixth 437, 437f
third 436, 436f
sympathetic 21
zygomatic 22
Neural crest cells 1, 5
Neural rim, thinning of 300
Neuritis, retrobulbar 363
Neuroectoderm 1
Neurofibromatosis 287, 329, 330f
Neurogenic theory 584
Neurological diseases 505
Neuromyelitis optica 362
Neuron
first-order 43
second-order 43
Neuropathy, ataxia, and retinitis pigmentosa syndrome 344
Neuroretinal rim, thinning of 301f
Neuroretinitis 363, 363f, 371f
Neutral density filter test 424
Nevus
flammeus 330
simple 170
Night blindness 327, 511
Non-arteritic anterior ischemic optic neuropathies 366
Non-proliferative diabetic retinopathy 354f, 355f
Nonsteroidal anti-inflammatory
drops 56, 231
drugs 231
topical 163
Nuclear layer
inner 13, 14
outer 13, 14
Nucleus 11
embryonic 12
infantile 12
Nutrition 26
Nutritional Blindness Vitamin A Deficiency 511
Nystagmus 440, 440f
ataxic 441
blockade syndrome 441
congenital 441
down-beat 441
end-gaze 440
gaze-paretic 441
jerky 440
latent 441
motor imbalance 442
ocular 442
optokinetic 261, 440
pendular 440
periodic alternate 441
physiological 440
rail-road 440
retractorius 441
see-saw 441
types of 441t
up-beat 441
vestibular 440
Nystatin 51
O
O’Brien's technique 467
Occlusio pupillae 229
Occlusion therapy 424, 431
Occult choroidal neovascular membrane 567f
Ocular diseases, lens induced 255
Ocular examination 96
proforma 103
Ocular headache 582
causes of 581
Ocular hypertension 286
treatment of 311
Ocular hypotensive, local 53
Ocular lesions
acute 193
chronic 193
recurrent 193
Ocular movements 107, 418
restriction of 433
Ocular muscle-balance, disturbances of 427
Ocular paralysis, different types of 435
Ocular structures, primordia of 1t
Ocular surface
burn 461t
new classification of 461t
disorders 404
squamous neoplasia 561
Ocular tissues 558
Oculocutaneous albinism 223f
Oculomotor nerve 22, 25
palsy 436
two divisions of 21
Ocuserts 49
Old Bitot's spot 512f
Onchocerciasis 241, 516
Oocyte, ingestion of 236
Opacity 117
grades of 110f
Open angle glaucoma 264, 457
incidence of 76
primary 52, 298, 334
Open globe injury 443
Open-sky vitrectomy 326
Ophthalmia neonatorum 150, 151, 151f, 415
etiology of 151t
manifestations of 151t
Ophthalmia nodosa 457
Ophthalmic lenses 550f
Ophthalmic vein
inferior 22, 24
superior 21, 22, 24
Ophthalmitis, sympathetic 225, 239, 453
Ophthalmopathy 396
Ophthalmoplegia 401
external 435
total 435, 435f
Ophthalmoscopy 72, 359, 366, 368
methods of 94, 328
Opponent color vision theory 40f
Opsin 32
Optic 72, 79, 90, 293
atrophy 116f, 117, 370, 505
consecutive 370, 371, 371f
descending 370
post-papilledemic 370f
primary 370, 371f
secondary 371f
axis 67
canal 21
enlargement 391
disc 93, 292, 328, 361
astrocytoma of 330f
coloboma of 361, 361f
cupping of 299, 300f, 301f
drusen 360f
hypoplasia of 361
pit 362f
total cupping of 302f
foramina 21, 22f
materials 480
nerve 1, 21, 22, 44, 359, 450
avulsion of 450
diseases of 359
fibers, myelinated 329, 329f
glioma of 399, 399f
intraorbital part of 21
proximal part of 44
sheath meningioma 399, 400f
tumors 372, 398
neuritis 35, 362, 362f, 363, 369
neuropathy
anterior ischemic 365, 366f
toxic 364
pathways 44f
pit 2
radiations
anterior part of 44
posterior part of 44
Optical coherence tomography 577, 579
normal 578f
uses of 578
Optical defects, ohysiological 66
Optical iridectomy 487, 527
Opticociliary shunt vessels 400f
Ora serrata 14
Oral contraceptives 61
Oral lesion 174f
Oral molecules 60
Oral pilocarpine 409
Oral prednisolone 364
Oral valganciclovir 51
Orbicularis functions 411
Orbicularis muscle 19
lacrimal portion of 22
marginal part of 19
subtarsalis part of 19
Orbit 21, 450
diseases of 385
enlargement of 391
exenteration of 392
fracture of 401
limbal ring X-rays of 458
plain X-ray of 391, 450
spaces of 22f
surgical spaces of 22
X-ray of 380, 571
Orbital bones
dehiscence of 391
fracture of 450
inferior 1
Orbital connective tissue 1
Orbital diseases
signs of 385, 390
symptoms of 385
Orbital fascia 21
Orbital fissure, inferior 21, 22
Orbital floor, blow-out fracture of 450f
Orbital inflammations 393
Orbital injury, penetrating 393
Orbital rim, palpation of 390
Orbital roof and lateral rim, parts of 1
Orbital space, peripheral 22
Orbital venography 391, 571
Orbitotomy 392
anterior 392
lateral 392
Orthophoria 425
Orthoptic exercises 427, 431
Osteogenesis imperfect 215
Oxycephaly 386
syndactyly 387
Oxygen 30
Oxyhemoglobin 171
P
Pachymetry 175
ultrasonic 569
Pain 128, 219, 252f
Palatine bone 21
Palliative therapy 377
Palpebral fissure height 132
Palpebral ligament, lateral 22
Panda bear eyes sign 172f, 443f
Pannus 156
corneal 129
formation 154, 155
healed 157f
phlyctenular 198
trachomatous 156f, 157f
Panophthalmitis 184f, 185, 224, 244, 245f
Panretinal photocoagulation 357f, 559
Panuveitis 234
Papillae, histopathology of 163
Papillary area, color reflex of 117
Papilledema 366, 368, 369, 565, 582
chronic 368, 369f
early 368, 368f
Papillitis 237
Papillomacular bundle 14, 43
Paracentesis 487
indications of 446
Paracentral scotomata, isolated 305
Parallel lines, perspective convergence of 422
Parasitic infestation 135
Parasympatholytic mydriatics 52
Para-trachoma 157
Parotid duct transplantation 409
Pars plana 9
lensectomy 262
vitrectomy 232, 319, 326, 348
Pars planitis 225, 231
Pars plicata 9
Parvocellular cells 40
Patchy iris atrophy 245
Patellar fossa 12
Patency test 412, 412f, 543f
Patent cilioretinal artery 334f
Patton's line 369f
Pediatric cataract, management of 261
Pegaptanib 60
Pelli-Robson chart 38, 38f
Pellucid marginal degeneration 202, 203f
Pemphigus, ocular 172f
Penetrating keratoplasty 194, 319, 488, 490, 492f, 560
complications of 491
Perfluorocarbon liquid 326
Pericorneal plexus 5
Perimetry, automated 304f
Peripheral button-hole 526f
iridectomy 115, 526
Peripheral retinal
degeneration 345
lesions 327
Periphlebitis 334
Perivasculitis 233f
Perkins’ applanation tonometer 285, 286f
Persistent hyperplastic primary vitreous 322, 326, 360f, 382, 383
endophthalmitis 117
Phacodonesis 117
Phacoemulsification 275, 474, 475, 476f, 482, 548
machine 476f
Phakomatosis 329
Pharmacological diagnostic tests 47
Phenothiazines 61
Phenylephrine 61, 144
Phenylmercuric nitrate 63
Phenytoin sodium 361
Phlycten, limbal 161f
Phlyctenular pannus 198
Phosphene 69
Photo stress test, modified 272
Photodynamic therapy 342
Photokeratitis 210
Photokeratoscope 80
Photophthalmia 210
Photopsia 327
Phthiriasis palpebrum 136t
Phthisis bulbi 182, 183f, 230
Physiological provocative tests 295
Pilocarpine 47, 49, 61, 296
like drug 409
phenylephrine test 295
Pinguecula 164, 164f
Placido's disc 80, 552, 552f, 575
Plain dissecting forceps, 525, 525f
Plateau iris mechanism 290, 290f
Pleoptics 425
Plexiform layer
inner 13, 14
outer 13, 14
Plica semilunaris 17
Pneumatic retinopexy 349
Pneumotonometer 286
Polychromatic luster 276f
Polycoria 219, 246f
Polyenes 51
Polymerase chain reaction 230
Polymethyl methacrylate 475, 560
Polyopia 252
Polyquad 63
Port wine stain 142f
Posner Schlossmann's syndrome 240, 315f
Post-cataract surgery 218f, 251f
Postcycloplegic test 90, 93, 554
Posterior capsular opacification 277, 278f, 279f, 478, 503
laser treatment for 533
Posterior chamber 3, 12
intraocular lens 262, 325, 478, 479, 481f
Posterior synechia 228
causes of 114
Potential acuity meter 272
Pre-Descemet's layer 5
Prematurity, retinopathy of 323, 332, 332f, 382
Presbyopia 87, 264, 581
Pressure over
canaliculi 412
sac
area 411, 454
region 118
Presumed ocular histoplasmosis syndrome 241
Prism 552, 552f
bar-cover test 431
in ophthalmology, uses of 553
reflex test 431
vergence tests 427
Probing test 411f
Prone test 295
Proparacaine 53
Prophylactic therapy 584
Prophylaxis 151, 192
Proptosis 127, 388, 390392, 403
bilateral 389, 389f
chronic 389
dynamic properties of 390
intermittent 389
measurement of 390
pulsating 389
rapidly-growing 389
right-sided 388f
slowly-growing 389
unilateral 388
Propylparaben 63
Prostaglandin analogs 54, 308
Prosthesis 501
Prostigmin test 131f
Protects corneal endothelial cells 57
Proteins 30
release of 219
water-insoluble 27
water-soluble 27
Provocative tests 295
Pseudoconvergent squint 425f
appearance of 120f
Pseudogerontoxon 163
Pseudoglioma 382
Pseudohypopyon 113f, 114
Pseudomembrane 148, 148f
Pseudophakia 273f, 274f
Pseudoproptosis 390
Pseudopterygium 166f
Pseudoptosis 131, 450
Pseudoretinoblastoma 382
Pseudostrabismus 425, 425f
Pseudotumor 394
cerebri 367
Psychosensory reflex 44
Psychotherapy 409
Pterygium 165, 167, 497f
operation 496
parts of 166f
progressive 166
recurrent 167
types of 165
Pterygoid plexus 24
Ptosis 19, 47, 130, 130f
acquired 131
amount of 131
bilateral senile 131f
clinical evaluation of 131
congenital 130
measurement of 132f
mild to moderate 134
neurogenic 133
partial 47
right-sided 130f
severe 134
surgery 548
Punctal occlusion 408
Punctum
dilator 541, 542f
proximum 72, 87
Pupil 8, 115, 229, 270, 292, 447
anomalies of 219
constriction of 472
dilatation of 283
distortion of 219
festooned 229f
functions of 43
normal 116f
pear-shaped 219
Pupillary block 570
glaucoma 318
mechanism 289, 290f
Pupillary reflexes 44
common anomalies of 45
Purkinje-Sanson images 68, 68f
Pursuits 420
Purulent discharge 145
Pyrimethamine 237
Q
Quadrantopia, contralateral superior 44
Quinine 61, 365
R
Raccoon eyes sign 171, 172f
Radiational injuries 462
Radiotherapy 142, 381, 392, 395, 398
Raised intracranial tension 366
Raised intraocular pressure 299, 334, 401
Ranibizumab 60
Rays, projection of 270, 291
Rectus
muscles, origin of 16
palsy 439
Red-green goggles 551, 552f
Reflex 134
blepharospasm 126, 134, 134f, 135
Refraction 518
subjective verification of 92
under
atropine 430
cycloplegia 582
Refractive errors 70, 288, 517, 551
correction of 90, 141
estimation of 90
optical correction of 431
Refractive index 3, 30, 66t
Refractive status, correction of 551
Refractive surgery 579
Refractometer 90, 91
Refsum's syndrome 343
Regan chart 38
Regression, stage of 180
Regular astigmatism 78, 81
classification of 79f
Regurgitation, slow 412
Rehabilitation, surgical 461
Reis-Buckler's dystrophy 203f
Reiter's syndrome 235
Relative afferent pupillary defect 45, 359, 370
Renal retinopathy 352
Retina 12, 193, 449, 455
central 14
diseases of 327
human 14f
layer of 13f
neurosensory 1
peripheral 15, 76
Purkinje's entoptic view of 272
Retinal break 323, 345
Retinal changes 457
Retinal detachment 31, 250f, 344, 449, 564
complicated 326
exudative 233, 350, 350f, 351f
surgery 319, 548
Retinal dialysis 346f
Retinal images, formation of 66, 66f
Retinal necrosis, acute 241
Retinal nerve fiber layer 580
defects 302
Retinal pigment epithelium 1, 8, 13, 75, 327, 564, 565
Retinal tears 449
Retinal vascular disorders 333
Retinal vasculitis, hemorrhagic occlusive 50
Retinal vasculopathies 505
Retinal vein occlusion 323, 334, 338, 565
Retinal vessels 69, 94
Retinitis 233
deep 237
focal necrotizing 237
pigmentosa 264, 338, 342, 342f, 343f, 371f
atypical 343
pericentric 343
sectorial 343
systemic associations of 343
typical 342
punctate albicans 342, 343
Retinoblastoma 113f, 358, 378, 380f, 381f, 382, 382f, 505
bilateral 379f
large endophytic 380f
right-sided 379f
spread of 379
stage of 379
Retinopathy 61
central serous 45, 337, 337f, 559, 564, 565, 578f, 585
hypertensive 350, 352f
Retinoschisis 345
Retinoscope 553, 553f
Retinoscopic
mirror 90, 93
streak 92f
Retinoscopy 80, 90
optic of 554
Retrobulbar block 53, 468
Retrobulbar fat 21
Retrobulbar injection 298
Retroillumination 98, 100
direct 100, 101f
indirect 100, 101f
Retrolental flare 239
Rhabdomyosarcoma 398, 398f
Rhegmatogenous
pathogenesis of 346
retinal detachment 345, 346f, 347f
treatment of 348f
Rheumatoid factor 230f
Rhodopsin 32
Rhomboidal tip 537f
Riboflavin 515
Rifampicin 61
Rigid gas permeable lenses 212, 212f
Ring scotoma 343f
Ring synechia 229, 229f
River blindness 241
Rod
and cones, layer of 13
spherules 14
Rodent ulcer 142
Roenne's nasal step 305
Roper-Hall classification 461t
Rose Bengal staining 103, 109, 406
Roving-ring scotoma 84f
Rubella
cataract, congenital 261f
syndrome 287
Rubeosis iridis 115, 228, 247, 247f, 314f
S
Sabouraud's media 176
Salt-and-pepper retinopathy 260
Salzmann's nodular degeneration 202, 202f
Sampaolesi's line 314f
Sattler, middle vessel layer of 10
Scheie's classification 351
Scheie's thermosclerostomy 483
Schematic eye 66
Schiøtz tonometer 119, 284f, 285f
Schirmer's test 407, 407f
values of 407
Schlemm's canal 7, 8
School eye
health services 509
screening program seeks 509
Schwalbe's line 6
Scissors 545, 545f
Sclera 1, 5, 7, 109, 193, 288, 444
diseases of 175, 214
inflammation of 215
surgically induced necrosis of 218, 218f
wounds of 451
Scleracorneal splitter 536, 536f, 539
Scleral buckling 348
Scleral fixation 281
Scleral rupture 444
Scleral spur 6
Scleral venous plexus 7
Scleritis 216
diffuse anterior 216
necrotizing 217f
nodular 217f
anterior 216
posterior 217
Sclerolimbal junction 6
Scleromalacia perforans 218f
Sclerosis
choroidal 247f
multiple 45, 46
primary choroidal 247
tuberous 330, 330f, 360
Sclerotic scatter 102
Scotoma 327
Scotopic vision 36
Sealing retinal breaks 348
Seclusio pupillae 230
Seidel's test 184f, 453f
Seigrist's line 352
Semi-buried implants 500
Senile cataract 262, 264, 273
types of 263f
Senile ectropion 124f
Senile entropion 122f
Senile furrow 201
Sensory reflex 45
Sensory retina 12, 327
attachment of 327
Serological tests 230
Serosanguineous discharge 145
Short-wave lengths, electromagnetic energy of 463
Shot-silk retina 72
Sickle cell retinopathy 323
Side-port blade 536, 537f
Siderosis 456
bulbi 34, 456, 457f
Silcock's needle holder 520, 520f
Silver nitrate 49
Simcoe cannula 534, 535f
Simple nevus, conjunctival 170f
Sinsky's hook 535, 536f
Sinus 24
infections 393
Sinusoidal grating 37f
Sjögren syndrome
primary 404
secondary 404
Skin
approach 133
tests 230
Slit-lamp 93, 98
biomicroscope 98f
examination 98, 98f, 252, 306, 411, 495
examination with 97
gonioscopy 458
grading 267
microscope 458, 553
optical section of 12f
Small incision lenticule extraction 560
Smoke-stack pattern 337
Snail-track degeneration 345
Snellen's distant vision chart 103, 104f
Snellen's letter, construction of 37f
Snellen's notation 106
Snow-ball opacities 232
Sodium
fluorescein 562
perborate 64, 64f
Soemerring's ring 278, 279f
Soft bandage contact lens 126
Soft contact lens, extended-wear 262
Solar retinopathy 463, 463f
Spasmus nutans 441
Specular reflection 98
Spherical aberration 67, 84f
Spherophakia 253, 253f
Sphincter pupillae 9, 44
Squamous cell carcinoma 142, 143f, 168, 169f
Squint 418, 425
and heterophoria, assessment of 553
apparent 72, 425
consecutive divergent 428
convergent 432
concomitant 427
development of 85
divergent 75, 432
concomitant 428
hook 537
latent 426, 581
divergent 426f
monoclonal 427
operation, types of 431
paralytic 433, 434
secondary divergent 428
surgery, general principles of 432
vertical concomitant 428
St. Martin's forceps 531, 531f
Staphylococcus aureus 148, 393
Staphyloma
anterior 182, 185, 513, 513f
partial anterior 183f
total anterior 183f
Static refraction 88
Stenopeic slit 549, 549f
Stenosis
congenital 367
punctual 410
Stereopsis 421
Sterile corneal ulceration 214
Sterile ocular inflammations 54
Sterilization, methods of 556
Steroid 244
antibiotic drops 296
systemic 194
topical 163, 194, 409
Stevens-Johnson syndrome 173, 174f
Stimulus
deprivation 420
deprivation amblyopia 424
Strabismus 425
hook 537, 538f
Stratified squamous epithelium 4
Streak retinoscope 91, 92f, 555
Streptococcus pneumoniae 393
Streptococcus pyogenes 393
Striate keratopathy, severe 211f
Stroma 4, 5, 9, 175
choroidal 1
relative dehydration of 26
Stromal collagen fibrils, regular arrangement of 26
Stromal dystrophies 203, 204f
Strum, focal interval of 79
Sturge-Weber syndrome 142, 287, 330, 331f, 378
Subcutaneous tissue 18
Subperiosteal space 22
Subretinal fluid
accumulation of 346f
drainage 349
Subretinal neovascular membranes 341, 564
Subsequent therapy 244
Substantia propria 5
Sub-Tenon block 16, 469
Sub-Tenon injection 49, 573
posterior 237
Sulfuric acid 460
Sulphonamides 61, 237
Superior oblique
muscle 432f
origin of 16
palsy 435
tendon-sheath syndrome 440
Superior orbital fissure 21, 22f
enlargement 391
Superior orbital vein 23
Superior petrosal sinus 24
Superior rectus 17, 22
holding forceps 532, 532f
stitch 470
Surgery
aims of 495
choice of 432
indications of 261, 268, 496
intraocular 56
post-pterygium 218f
types of 310, 482, 490
Surgical therapy 310, 398
Suture
conjunctival 466
removal of 466
tier forceps 532, 532f
Swab, conjunctival 270, 574
Sweat gland 19
Swelling 155
Swinging flash-light test 45
Symblepharon 120, 127, 128f
anterior 128
posterior 128
Symptomatic relief 416
Synchysis scintillans 322, 322f
Synechiae 114, 228
Syneresis 320
Synoptophore 431, 553
evaluation 427
Syringing test 412
Systemic therapy 137, 310, 398
T
Tacrolimus 58
ointment 58
Tangent screen 303, 431
Tarsorrhaphy 125, 127, 392, 409, 495
permanent 495f
temporary lateral 495f
T-cell inhibitors 57, 58
Tear 28
circulation of 28
composition of 28
drop sign 450
formation 402
meniscus 405
depth 579
height 579
mucin measurement 408
osmolarity 407
production, stimulation of 409
supplementation of 408
Tear-film
anterior surface of 26
break-up time 407, 562
dysfunction 404
instability of 136
precorneal 29, 29f, 405
strip, marginal 405, 412
Telecanthus 388f
Teleophthalmology centers, linkage of 506
Telescopic loupe 551
Tenon's capsule 6, 16, 21
anterior part of 22
posterior part of 22
Tenon's space 22
Tenotomy 431
Tensilon test 133
Tension 230
intraocular 288, 450
Terrien's degeneration 197, 197f
Terson's syndrome 323
Tetracaine 53
Tetracycline 50
Therapeutic test 235
Thermal burn 462, 462f
Thermocautery 523, 524f
Thiamine 515
Thrombophlebitis 393
Thyroid
dysfunction 209
exophthalmos 127
function tests 391, 397
ophthalmopathy 395, 396f, 584
Thyrotoxicosis, medical treatment for 397
Timolol
maleate 61
maleate eye drop 185
side effects of 308
Tonography 306
Tonometer, types of 286
Tooke's knife 539, 539f
Tooth paste sign 137f
Total leukocyte count, blood for 161
Toxic amblyopia, drug-induced 365
Toxins, endogenous 160
Toxocara endophthalmitis 382, 383
Toxocariasis 238, 383f
Toxoplasmosis 236
bilateral congenital 237f
congenital 236
recurrent 236
Trabecular meshwork 1, 7, 8, 294
Trabeculectomy 289, 317f, 483
operation 523
steps of 484f
Trabeculotomy 289
Trachoma 155, 157f, 505, 516
acute 156
Control Program 508
healed 156
incipient 156
non-blinding 157
scar 159f
sequelae of 158
WHO classifications of 158t
Tractional retinal detachment 230, 349, 349f, 350f
Transfer neutral point 442
Transient amplifying cells 6
Transillumination test 376
Traquair's junctional scotoma 44
Trauma 505
immediate effects of 451
Triamcinolone
acetonide 55, 326
intravitreal 56
eye ointment 56
sub-Tenon injection of 56
Tricarboxylic acid cycle 27
Trichiasis 120, 126, 126f, 136
Trichromatic theory 39
Triflurothymidine 50
Trigonocephaly 386
Triple procedure 274, 490
Tritanope 40
Trochlear nerve 21, 22
palsy 436
Tropicamide 52
Tuberculosis 161
Tuberculum sellae meningioma 399
Tumors 46
benign mixed 403
cells, cross-striations of 398
choroidal 374
conjunctival 167
intraocular 373
Two-point discrimination test 272
U
Uhthoff's phenomenon 362
Ulcer 112, 190
atheromatous 195
bacterial corneal 180f
catarrhal 195
chronic serpiginous 196
fascicular 198, 198f
shield 163f
trophic 191
Ulcus serpens 185
Ultrasonography 324, 347, 380, 397
A scan 320, 568
B scan 320, 391, 395, 458, 569
Ultraviolet rays 463
Universal eye speculum 519, 519f
Upper eyelid 19f
coloboma of 121f
eversion of 108f
Upper fornix, examination of 108
Upper lid 19
distichiasis of 122f
eversion of 454
S-shaped 402, 402f
Upper palpebral conjunctiva, examination of 108
Upper tarsal border 133
resection of 133
Urethritis, coincidence of 150
Urine analysis 391
Usher's syndrome 344
Utrata forceps 534
Uvea 8
diseases of 219
Uveal effusion syndrome 217
Uveal tract
blood supply of 10f
coloboma of 221f
degenerations of 245
tumors of 251
Uveitis 224, 234, 235, 239f, 584
chronic 235f
non-infectious 585
granulomatous 226t
hypertensive 315
idiopathic specific 225
intermediate 231
lens induced 225
nomenclature classification, standardization of 224, 224t
nongranulomatous 226t
phacoanaphylactic 256
phacotoxic 256
posterior 232, 235
sarcoid 235
terminology, activity of 225
tubercular 235
V
Valaciclovir 50
Valsalva maneuver 392f
van Herick slit-lamp grading 296f, 297f
Van-Lint's method 467
Vannas’ scissors 535, 535f
Vascular endothelial growth factor 55
Vasculitis 233
Vectis, irrigating 534, 534f
Vein 23
angular 24
frontal 24
labyrinthine 24
ophthalmic 21
supraorbital 24
Venereal disease research laboratory 218, 230
Ventricular system, blockage of 367
Vermiform movements 47
Vertigo 433
Vessels, lymphatic 21
Vestibuloocular movements 420
Vidarabine 50
Visa classification 397
Viscoelastic
roles of 56
substance 49, 56
removal of 472
Vision
2020 516
right to sight 515
binocular field of 421f
blurring of 426
complete loss of 428
decrease of 252
dimness of 166, 252
field of 371
for distance, gradual impairment of 267
neurology of 43
paracentral temporal island of 306
photopic 32, 36
physiology of 32
poor 427
sudden loss of 75
Visual acuity 36, 103, 367, 435
expression 106
notation in different scales 106f
principle of 103
reduced 401
testing 104f, 430
steps of 106f
Visual angles 67
Visual axis 67
Visual cycle 33f
Visual development 420
Visual difficulties 379
Visual evoked
potential 34, 261, 371
response 272
Visual field
defect 347, 365
classical 303
normal 303
testing 303
Visual impairment
categories of 502, 502t
disability categories 503t
prevalence of 505t
Visual loss, causes of 232
Visual optic nerve 24
Visual pathway 24, 43
Visual perceptions 35
Visual rehabilitation 262
Vital dye staining 406
Vitamin 515
A 61
deficiency 511
intramuscular injection of 514
prophylaxis 509, 514
C 515
D 515
deficiencies 515
K 515
Vitrectomy 244, 262, 273, 325, 326, 348
Vitreocorneal touch 325f
Vitreomacular traction 578f
Vitreoretinal diseases 268
Vitreoretinal surgery 274, 526
Vitreoretinopathy, traumatic proliferative 449, 450f
Vitreous 1, 448, 455
cavity 3, 12
detachment 321, 321f
anterior 321
posterior 321
diseases of 320
hemorrhage 323, 323f, 324f, 449
fate of 324
humor 320
composition of 320
loss of 325, 482
normal attachment of 321
opacities 321
grading of 230t
prolapse of 325
substitutes 326
tap 574
traction 323
Vogt-Koyanagi-Harada syndrome 238, 238f, 239f
Von Graefe's cataract knife 521
von Helmholtz theory, modern version of 86
von Hippel-Lindau's disease 330
von Recklinghausen's disease 329
Voriconazole 51
Vortex veins 11
Vossius's ring 118, 447
W
Warner's no specs classification 396
Water drinking provocative test 306
Watering from eye 410
Watery discharge 145
Weakening procedure 432f
Weill-Marchesani syndrome 117, 255
Weis’ procedure 123
White pupillary reflex 252, 331, 382f, 383f
White sclera, junction of 6
Whooping cough 172f
Wire
speculum 519f, 520
vectis 530, 530f
Worth's four-dot test 431, 438, 438f, 552
Woulfring gland 1820
Wound
closure of 472
healing 27
X
Xanthelasma 141, 141f
Xenograft 490
Xerophthalmia 404, 505, 511f, 513
bilateral old 513f
major signs and symptoms of 511
treatment schedule for 513
Xerophthalmic scar 513
bilateral 513f
Xerosis 404
corneal 512, 512f
epithelialis 172
parenchymatous 172
severe 182
Y
Y sutures, posterior 11
Yoke muscles 419, 420f
Yttrium aluminum garnet laser
capsulotomy 533
peripheral
iridectomy 527
iridotomy 296
Z
Zeigler's knife 532, 533f
Zeis gland 18, 19
Zinc sulfate 49
Zinn annulus 18
Zinn tendon 16
Zinn zonule 11
Zonular tear, small 280
Zonules 1
×
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Essentials of Ophthalmology
Essentials of Ophthalmology
Seventh Edition
Samar K Basak MBBS (Cal) MD (AIIMS) DNB FRCS (Glasgow) Diplomate of National Board of Examiners in Ophthalmology, India Director Disha Eye Hospitals Kolkata, West Bengal, India
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Essentials of Ophthalmology
Sixth Edition : 2016
Seventh Edition : 2019
9789352709885
Printed at
Dr Bani Biswas
Who still loves me even after extensive hours with this book.
Preface to the Seventh Edition
The sixth edition of Essentials of Ophthalmology was published in January, 2016. Since then, much has changed in the landscape of medicine and health-care, and more specifically, in the field of ophthalmology. As our living environments and surrounding technologies change, so do the complications in the human body. Over the past three years, as a result of new studies and researches conducted and published, we have seen evolutions in disease management, diagnosis, surgical techniques, treatment patterns, hospital policies and so on. Therefore, it has become necessary to bring out this updated seventh edition of the book.
The highlights of this edition are—latest medical and surgical management of some diseases, and updates on newer investigations. The new look and the use of American spellings make the book reach out to a wider range of international readers. However, a few things have not changed in this edition, like its predecessors, plenty of diagrams and photographs are in four color. The bulleted format of the book, detailed illustrations, a selection of slit-lamp examination, and such features which facilitate revision have been retained.
The making of this edition has also been aided by the generous feedback from its readers, who are not just undergraduates, but also postgraduates and practising ophthalmologists from the Indian subcontinent. Thank all of you for your suggestions, thoughts and for pointing out the typos that were in the previous edition. Much appreciation also to the optometrists, who have written into tell that they have gained insight from the book. The sustained encouragement and engagement from readers is a great motivation to prepare a better edition.
I take this opportunity to thank all the doctors and staff members of Disha Eye Hospitals for their continued support and involvement. As usual, Dr Soham Basak has helped me polish this edition, and thanks to my wife Dr Bani and my daughter Sohini.
Finally, I do hope that this edition will encourage the readers to think critically about ophthalmology and ophthalmological practises. As always, I welcome all your suggestions, criticisms and comments.
Samar K Basak
Preface to the First Edition
Most medical colleges do not have a required undergraduate teaching course in ophthalmology. Consequently, the students are often sadly deficient in this subject, unless they are specially interested. In adition, an acute shortage of time, prevents the students from reading large textbooks on this subject. Many students complain that most of the available books are either too brief or too extensive. It is with the hope of bridging this gap that I have written this book.
This book focusses on the information in a concise, step-wise, outline format which is essential for getting a true picture of the subject. The arrangement of the subject matter is to-the-point, and up-to-date with plenty of line diagrams which are easily reproducible during examination. Though this book is essentially meant for the undergraduate students, I hope, it will be very useful to the postgraduate students as well as practising ophthalmologists, for a quick revision of the subject.
In conclusion, I shall be happy if this book proves itself to be a valuable guide both for the undergraduate and postgraduate students, especially during their examination. Any critical comment and suggestion from the students and teachers, regarding this effort, will be appreciated.
Samar K Basak
Acknowledgments
I am thankful to Prof BN Nag, Principal, NRS Medical College, Kolkata, West Bengal, India, for his support and encourgament. I am also thankful to the teachers, postgraduate and undergraduate students in the Department of Ophthalmology, for inspiring me during writing this book.
I am extremely grateful to my teacher, Prof VK Dada, Ex-Chief, RP Center for Ophthalmic Sciences, AIIMS, New Delhi, who had spent his valuable time reading the manuscript.
The material of this book is drawn from many sources—Parsons’ Diseases of the Eye, Kanski's Clinical Ophthalmology, Trevor-Roper's The Eye and its Disorders, Newell's Ophthalmology: Principles and Concepts, Wolff's Anatomy of the Eye and Orbit, Bruce-Shield's A Study Guide of Glaucoma, Abram's Practice of Refraction. I express my sincere gratitude to all authors and respective publishers. For any instance, in which I have omitted to mention its source, it is hoped that the author will accept this blanket of acknowledgments.
I am greatly indebted to Dr Amitava Kundu, who has helped me to compile the manuscript. I gratefully thank my wife, Dr Bani Biswas and my children Soham and Sohini, for their cheerful acceptance of many evenings and holidays sacrificed, so that I could complete this book. Finally, I would like to convey my gratitude to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Dr Madhu Choudhary (Publishing Head–Education), Dr Swapnil Shikha (Assistant Manager–Publishing) and all technical staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India.