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A case-based teaching tool describing real-life cases of neuro-ophthalmic disorders. Bridges the gap between textbook information and everyday clinical practice.
Clinical neuro-ophthalmology is a diverse field which bridges the gap between neurology and ophthalmology. This volume focuses on the clinical skills required for the diagnosis and management of neuro-ophthalmic problems. It gives a brief synopsis of the visual sensory system and covers examination and investigation of the various disorders of the eye. Also considered are disorders of the facial nerve and eyelid function, and neuro-ophthalmic aspects of migraine and other headaches. Full of clinical expertise and erudition, readers will find a concise but authoritative overview of this relatively new specialty.
This book covers all relevant techniques of diagnosis as well as interpretations of clinical signs in Clinical Neuro-Ophthalmology. All information is highly structured, highlighting ‘definition’, ‘note’ and ‘pearl’, so that it can also be used by the physician during the patient encounter. The included flow chart posters remind the physician of the most important information. This unique and practical guide offers invaluable and practical advice for physicians treating patients with neuro-ophthalmic problems.
Using real-life cases describing patients with neuro-ophthalmic disorders, this book is a case-based teaching tool that bridges the gap between textbook information and everyday clinical practice. Each case illustrates a particular area of frequent diagnostic confusion, and highlights the specific clinical features that should point to the correct diagnosis. Focusing on errors in this way serves as motivation to the clinician to master the material so that 'pitfalls' can be avoided. The level of the case discussions assumes that the reader has some familiarity with basic neuroanatomy, physiology and disease process but each case discussion furnishes a brief review of such information, always with an emphasis on those features that are clinically relevant. The case-histories are succinct and amply illustrated, including motility and fundus photographs, visual fields and radiographic studies. The narrative is moved along with questions to the reader, making it easy to follow the logic of the cases.
The book presents the most common problems seen in neuro-ophthalmology in a case-based learning format that provides rapid access and is easy to read. The user friendly format guides and stimulates the reader to identify the distinctive symptoms in the main complaint and history; to define the differentiating signs on neuro-ophthalmic exam; and to describe the key laboratory or neuroimaging in specific entities. It also challenges the reader to ask additional questions of themselves and others by providing an initial set of questions and answers on specific neuro-ophthalmologic topics.The questions chosen are meant to simulate “real world” questions in the clinic; the answers given serve to provide both the rationale for the correct answer and the explanations or reasons for the incorrect but plausible answers that might distract or mislead a clinician in specific neuro-ophthalmic cases.
This book is a practical, symptom-based, ‘how-to’ guide to neuro-ophthalmology and acquired strabismus for all trainee and practising ophthalmologists and optometrists. Each chapter focusses on a specific clinical symptom and includes an introduction to the clinical assessment of a symptom; an examination checklist; a management flowchart to be followed; clinical diagnostic criteria checklists; and further information on the diseases that can cause the symptom with a brief discussion of appropriate management. A practical and accessible handbook for the ophthalmologist or optometrist without a specialist interest in neuro-ophthalmology and acquired strabismus. The text simplifies a subject which is often a cause of litigation against practising ophthalmologists and exam failure for trainees and residents. The book aids diagnosis in a field in which mistakes may lead to medico-legal problems, e.g. brain tumours presenting with blurred or double vision. The book leads the reader from the symptom, through a series of simple but safe flowcharts and check-lists, to the diagnosis or the tests which need to be ordered. The first chapter presents 20 ‘golden rules’ to keep you and your patients out of trouble. A revised text with some new illustrations brings this highly-praised book up to date. New online videos demonstrate abnormal eye movements, eyelid problems and pupil abnormalities.
For those clinicians with minimal experience in reading the signs and symptoms of neuro-ophthalmic disease, this book provides the information you need to make accurate clinical judgments and will give you the confidence to handle emergency situations. Features: Well-organized sections on examination techniques, signs and symptoms, categories of neuro-ophthalmic disorders, and key diagnostic tests More than 200 full-color photographs of specific diseases for easy identification Detailed lists of differential diagnoses and red flags to prevent errors in evaluation or treatment In-depth discussions of optic tumors, diplopia and polyopia, Horner's Syndrome, nerve palsies, visual field defects, eye movement disorders, and more Designed for specialists and non-specialists alike, this user-friendly guidebook will be invaluable for immediate diagnostic and management decisions, including knowing when referrals are in order.
The management of emergent neuro-ophthalmic conditions can be a life-saving encounter for the general ophthalmologist. This book covers life-threatening scenarios that a general ophthalmologist might encounter, and is designed to help the ophthalmologist make emergency triage decisions for initial evaluation and treatment of potentially vision- or life-threatening conditions. This book is case based, and provides the reader with the invaluable expert views of two neuro-ophthalmologists. One, Dr Lee is an ophthalmology-based neuro-ophthalmologist and the other, Dr Brazis is a neurology-based neuro-ophthalmologist. Dr Mughal and Dr Policeni collected and collated the case vignettes during their fellowship with Dr Lee at the University of Iowa Hospitals and Clinics.This textbook provides a concise, easy to read, and practical guide to the emergent evaluation of neuro-ophthalmic conditions. It is designed to be a quick read and not to be all-inclusive or comprehensive. The reader is directed to longer and more comprehensive neuro-ophthalmic texts for this information. It is also not the aim of the book to provide information on anatomy, pharmacology, physiology, or other basic mechanisms of disease. Instead, this text is meant to be a quick reference and resource for the clinician in the emergency room or in the clinic facing a potentially vision- or life-threatening emergency and to provide immediate guidance for potentially “high stakes” decision making. The case vignettes are based upon real clinical cases but the clinical details of each case have been modified for teaching purposes and represent composite rather than individual histories.
This title in the Rapid Diagnosis in Ophthalmology Series presents a wealth of full-color images - along with differential diagnoses - in side-by-side page layouts to assist you in identifying a full range of neuro-ophthalmic disorders. A templated format expedites access to the guidance you need to diagnose the most common conditions related to Neuro-Ophthalmology - from simple to complex - encountered in practice. Coverage of cutting-edge topics including transient visual loss, congenital and acquired optic neuropathies, chiasmal and retrochiasmal vision disorders, nystagmus, and many more, help you keep your knowledge up to date. Hundreds of full-color images present conditions as they present in real life. Common diagnostic pitfalls discuss what to look out for when making a difficult diagnosis. A templated, color-coded layout and differential diagnosis boxes for each condition help you make quick, accurate clinical decisions. A focus on the most common conditions encountered in practice allows you to efficiently formulate treatment plans and referrals. SERIES EDITORS: Jay S. Duker, MD, Director, New England Eye Center, Vitreoretinal Diseases and Surgery Service; Director, Pediatric Retinal Referral Center, Uveitis & Immunology Service; Professor and Chair of Ophthalmology, Tufts University School of Medicine, Boston, MA and Marian S. Macsai, MD, Chief, Division of Ophthalmology, Evanston Northwestern Healthcare; Professor and Vice-Chair of the Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, MI
Neuro-ophthalmology is a field of medicine that touches on every subspecialty in neurology, but has an undeserved reputation as a branch of knowledge that is difficult to learn and practice. Many neurologists and ophthalmologists do not receive sufficient exposure to neuro-ophthalmology during their residencies, and are uncomfortable diagnosing and treating patients with neuro-ophthalmic problems. Authored by neuro-ophthalmologists whose careers span three generations in the field, Neuro-Ophthalmology helps clinicians evaluate and manage patients with neuro-ophthalmic problems. This "curb-side consult" approach is divided into five sections: afferent (visual) disorders; efferent (eye movement) disorders; eyelid disorders; pupil disorders; and combination syndromes. Based on the most current scholarly evidence and filled with practical advice, Neuro-Ophthalmology provides the answers to "what do I do now?"