Ocular trauma : principles and practice / edited by Ferenc Kuhn, Dante J. Pieramici.

Format:

Book

Contributor:

Kuhn, Ferenc, 1952-

Pieramici, Dante J.

Language:

English

Subjects (All):

Eye--Wounds and injuries.

Eye.

Eye Injuries.

Medical Subjects:

Eye Injuries.

Physical Description:

xxviii, 468 pages : illustrations (some color) ; 29 cm

Place of Publication:

New York : Thieme, [2002]

Contents:

Serious Eye Injury: The Patient's Perspective / Ellen M. Bomer, Emily Lyons, Jeff Lyons xxiii

Section I General Considerations

1. BETT: The Terminology of Ocular Trauma / Ferenc Kuhn, Robert Morris, C. Douglas Witherspoon 3

Current problems 3

Birmingham Eye Trauma Terminology 4

2. Classification of Ocular Trauma / Sharath C. Raja, Dante J. Pieramici 6

The principles of classification 6

Classification of open globe injuries 6

Classification of closed globe injuries 7

3. The OTS: Predicting the Final Vision of the Injured Eye / Ferenc Kuhn, Richard Maisiak, LoRetta Mann, Robert Morris, C. Douglas Witherspoon 9

The need for a comprehensive, digital method for predicting the outcome of a serious eye injury 9

The variables used in the Ocular Trauma Score 9

Calculating the Ocular Trauma Score 11

4. Eye Injury Epidemiology and Prevention of Ophthalmic Injuries / Ferenc Kuhn, Viktoria Mester, LoRetta Mann, C. Douglas Witherspoon, Robert Morris, Richard Maisiak 14

The United States Eye Injury Registry 14

Ocular trauma epidemiology: General findings 15

Prevention 19

5. Counseling the Patient and the Family / Robert Morris, Ferenc Kuhn, C. Douglas Witherspoon, D. Donald C. Stephens 22

Counseling goals 22

Specific counseling goals 24

6. Rehabilitation of Patients with Ocular Trauma / Donald C. Fletcher, August Colenbrander 27

Rehabilitation goals 27

Teamwork 28

Ranges of vision loss 28

Rehabilitation issues 30

Reassurance therapy 30

7. Medicolegal Issues / Wesley D. Blakeslee 33

Professional liability 33

Sources of litigation in ocular trauma 34

Preventing claims 35

The physician as an expert 36

8. Designing the Management Strategy / Ferenc Kuhn 38

History and evaluation 39

Traditional versus planned approach to eye trauma 40

The surgeon: Know your capabilities and limitations 41

Reconstruction versus enucleation: The significance of NLP vision 42

Open versus closed globe injury; Intervention versus referral 43

The rules of transportation 44

The timing of intervention 44

Anesthesia 44

Primary surgery: Wound closure versus comprehensive reconstruction 46

The postoperative period and secondary reconstruction 46

Instrumentation 48

9. Evaluation / J.B. Harlan, Jr., Eugene W.M. Ng, Dante J. Pieramici 52

General evaluation 52

Ophthalmic evaluation 53

Section II Emergency Management

10. Management of Patients with Polytrauma / Joel A. Pearlman, Dante J. Pieramici 73

Epidemiology 73

Initial assessment 73

Emergency intervention 75

Open globe injury and the nonophthalmologist 75

Radiologic evaluation 75

Special considerations 75

Ophthalmic conditions as a result of systemic injuries 76

11. Chemical Injuries: Emergency Intervention / Michael D. Wagoner, Kenneth R. Kenyon 77

Etiology 77

Epidemiology and prognosis 77

Pathophysiology 79

Therapeutic principles 79

Specific therapy 80

12. Nonglobe Injuries: Emergency (Room) Management / John A. Long, Thomas M. Tann 84

Evaluation 84

Emergency conditions and their management 85

Section III Mechanical Globe Injuries

13. Conjunctiva / M. Bowes Hamill 89

Examination 89

Specific injuries 90

Prognosis and outcome 93

The nonophthalmologist's role 93

14. Cornea / M. Bowes Hamill 95

Epidemiology and prevention 95

Pathophysiology 95

Examination 96

Specific injuries 98

15. Scleral and Corneoscleral Injuries / Jennifer L. Lindsey, M. Bowes Hamill 111

Epidemiology 111

Evaluation 112

Anesthesia 113

Techniques of operative repair 114

Postoperative considerations 120

16. Extrabulbar Tissue Prolapse / Jose Dalma-Weiszhausz 123

Definition and history 123

Pathophysiology 123

Evaluation 124

Management 125

17. Anterior Chamber / Bradford J. Shingleton, Ferenc Kuhn 131

Synechialysis and pupillary membranes 131

Hyphema 132

Removal of other materials 140

Reformatting the AC 143

18. Iris / Bernd Kirchhof 146

Mydriasis 146

Iatrogenic iris laceration 149

Prolapse 149

Iridiodialysis 149

Aniridia 149

19. Ciliary Body / Derek Kuhl, William F. Mieler 157

Pathophysiology 157

Clinical conditions: The cause of hypotony 158

Management of the phthisical eye 166

20. Glaucoma / Kristin Hammersmith Matelis, Nathan Congdon 169

Glaucoma associated with closed globe trauma 169

Glaucoma associated with open globe trauma 176

Chemical injuries 177

Thermal burns 178

Electrical injury 178

Orbital pressure elevation 178

21. Lens / Viktoria Mester, Ferenc Kuhn 180

Crystalline lens 181

22. Choroid / Nicholas E. Engelbrecht, Paul Sternberg, Jr. 197

Choroidal rupture 197

SCH 199

23. Vitreous and Retina / Kah-Guan Au Eong, David Kent, Dante J. Pieramici 206

Epidemiology and prevention 206

Retina 208

Vitreous hemorrhage 229

24. Intraocular Foreign Bodies / Ferenc Kuhn, Viktoria Mester, Robert Morris 235

History 235

Epidemiology and prevention 236

Pathophysiology 236

Evaluation 239

Management strategy and counseling 242

Instrumentation 247

Management 250

Alternative treatment methods 251

Late complications 251

Special issue 251

Antibiotic use 251

Prognosis and outcome 256

Controversies 257

The nonophthalmologist's role 257

25. Severe Combined Anterior and Posterior Segment Trauma / C. Douglas Witherspoon, Robert Morris, Robert Phillips, Ferenc Kuhn, Suzanne Nelson, Robert Witherspoon 264

History 264

Cinical rationale for TKP use 265

Surgical technique 265

Case series 271

26. Management of Eyes with Perforating Injury / Stephen G. Schwartz, William F. Mieler 273

Epidemiology 273

Pathophysiology and prognosis 274

Surgical treatment 275

27. Injury to the Postsurgical Eye / Paul F. Vinger 280

The mechanism of eye injuries 280

The effects of common surgical incisions 282

Trauma following different types of intraocular surgery 284

Prevention 287

28. Endophthalmitis / Nauman A. Chaudhry, Harry W. Flynn, Jr. 293

Epidemiology 293

Clinical diagnosis 293

Microbiology 294

Prevention: Prophylactic antibiotics 295

Treatment 297

Special issues 298

29. Sympathetic Ophthalmia / Robert A. Mittra 301

Epidemiology and prevention 301

Clinical presentation and evaluation 301

Pathologic features 302

Pathophysiology 303

Management and complications 303

Prognosis 304

30. Unique Aspects of Trauma in Children / Ronald P. Danis, Daniel Neely, David A Plager 307

Epidemiology and prevention 307

Evaluation 308

Injuries with special implications 310

31. Evisceration and Enucleation / Michael A. Callahan 320

Decision making 320

SO as a factor in determining the management 320

Evisceration 321

Enucleation 324

Section IV Nonmechanical globe injuries

32. Chemical Injuries: Clinical Course and Management / Michael D. Wagoner, Kenneth R. Kenyon 335

Pathophysiology 335

Clinical evaluation and course 336

Therapeutic principles 337

Specific therapy 345

33. Ocular Manifestations of Nonophthalmic Conditions / Wolfgang Schrader 350

Purtscher's retinopathy 350

Whiplash syndrome 352

Shaken baby syndrome 353

Terson's syndrome 355

Valsalva retinopathy 356

High-altitude retinopathy 357

34. Photic and Electrical Trauma / Yaniv Barkana, Michael Belkin 361

Photic trauma 361

Electrical trauma 367

Section V Nonglobe injuries

35. Eyelid and Lacrimal System Trauma / John A. Long, Thomas M. Tann 373

Epidemiology (USEIR data) 373

Prevention 374

Eyelid lacerations 374

Canalicular lacerations 377

Eyelid avulsion 379

Traumatic ptosis 380

Cicatricial ectropion 381

Bite injuries 381

36. Orbital Trauma / John A. Long, Thomas M.

Tann 383

History 383

Epidemiology (USEIR data) 383

Prevention 384

Pathophysiology 384

Evaluation 384

Types of trauma and their management 385

37. Optic Nerve and Visual Pathway / Lanning B. Kline, Christopher A. Girkin 392

Epidemiology 393

Pathophysiology 393

Evaluation 396

Management strategy 397

Timing 399

Management 399

Alternative to treatment 401

Complications 401

Special issues of importance 401

Prognosis and outcome 401

Controversies and future trends 401

The nonophthalmologist's role 402

38. Ocular Motor System / John A. Long, Thomas M. Tann 405

Epidemiology (USEIR data) 405

Pathophysiology 405

Evaluation 405

Clinical conditions 406

Appendix 1. Instrumentation / Suzanne Nelson 413

Appendix 2. Endoscopy / Claude Boscher 414

Appendix 3. Basic Surgical Techniques in the Anterior Segment / M. Bowes Hamill 419

Appendix 4. Basic Surgical Techniques in the Posterior Segment / Wolfgang Schrader 426

Appendix 5. Pharmacology / Martin L. Heredia-Elizondo, Tamer A. Macky, D. Virgil Alfaro, Joel H. Herring 446

Appendix 6. Myths and Truths about Eye Injuries: Answers to Commonly Asked Questions / Dante J. Pieramici, Ferenc Kuhn 452

Appendix 7. The Need for Standardization for Protective Eyewear in Sports / Paul F. Vinger 455.

Notes:

Includes bibliographical references and index.

ISBN:

1588900754

3131257717

OCLC:

47798264