By Bennie H. Jeng
This e-book provides updated info at the prognosis and administration of the spectrum of clinical and surgical corneal ailments, with a distinct specialize in new know-how. the newest instruments for diagnosing ocular floor ailment, infectious keratitis, and ocular bronchial asthma are mentioned, in addition to novel therapies for those entities. The impression of growth in imaging and call lens know-how at the administration of corneal stipulations is absolutely defined, and the efficacy of corneal collagen crosslinking for keratoconus and corneal ectasia is evaluated. precise recognition is dedicated to the most recent surgical innovations, together with lamellar keratoplasty, endothelial keratoplasty, keratoprosthesis, and laser-assisted penetrating keratoplasty. moreover, the function of the attention financial institution in facilitating corneal strategies is defined. Advances in clinical and Surgical Cornea is written via best experts who percentage a fondness for potent, state of the art care. it is going to be worthy for either skilled ophthalmologists and trainees.
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Extra resources for Advances in Medical and Surgical Cornea: From Diagnosis to Procedure
2003;87(7):834–8. Burton MJ, Pithuwa J, Okello E, et al. Microbial keratitis in East Africa: why are the outcomes so poor? Ophthalmic Epidemiol. 2011;18(4):158–63. Constantinou M, Daniell M, Snibson GR, Vu HT, Taylor HR. Clinical efficacy of moxifloxacin in the treatment of bacterial keratitis: a randomized clinical trial. Ophthalmology. 2007;114(9):1622–9. Dahlgren MA, Lingappan A, Wilhelmus KR. The clinical diagnosis of microbial keratitis. Am J Ophthalmol. 2007;143(6):940–4. Dalmon C, Porco TC, Lietman TM, et al.
This therapy may include topical medications (antihistamines, mast cell stabilizers, NSAIDs, or combinations) and oral antihistamines. Nonsteroidal drugs inhibit cyclooxygenase resulting in decreased formation of prostaglandins and thromboxanes, but not leukotrienes. Therefore, these compounds are useful in controlling itching and some inflammation, but not the infiltration of inflammatory cells. In extreme cases, the use of a topical steroid four times a day should be considered. All patients receiving topical steroids should have their intraocular pressure measured every 3 months if on topical steroids and be evaluated for cataract annually.
Both SAC and PAC must be differentiated from the sight-threatening allergic diseases of the eye, namely, AKC and VKC. 1 Historical Perspective Hypersensitivity reaction description of the ocular surface dates to the earliest descriptions of hay fever or rhinitis. Some of the earliest allergy provocation testing was performed in the conjunctiva. 2 Epidemiology Prevalence estimates for allergic conjunctivitis are difficult because allergies in general tend to B. P. T. 1 Allergic diseases of the eye Disease Seasonal allergic conjunctivitis (SAC) Clinical parameters Sensitized individuals Both females and males Bilateral involvement Seasonal allergens Self-limiting Perennial allergic Sensitized individuals conjunctivitis Both females and males (PAC) Bilateral involvement Year-round allergens Self-limiting Atopic Sensitized individuals keratoconjunctivitis Peak incidence 20–50 years of age (AKC) Both females and males Bilateral involvement Seasonal/perennial allergens Atopic dermatitis Chronic symptoms Vernal Some sensitized individuals keratoconjunctivitis Peak incidence 3–20 years of age (VKC) Males predominate 3:1 Bilateral involvement Warm, dry climate Seasonal/ perennial allergens Chronic symptoms Giant papillary Sensitization not necessary conjunctivitis Both females and males (GPC) Bilateral involvement Prosthetic exposure Occurs anytime Chronic symptoms be considerably underreported.
Advances in Medical and Surgical Cornea: From Diagnosis to Procedure by Bennie H. Jeng