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This book explains how to use intravitreal steroids optimally in the management of patients with intraocular inflammation (uveitis) and macular edema. The rationale for this treatment approach is first explained by examining the pathophysiology of these disease entities, with particular attention to the major role of inflammatory processes. Devices for the delivery of steroids to the eye are discussed, and guidance provided on the role of imaging studies before, during, and after steroid therapy. The value of different steroidal approaches is then considered in detail. Other topics addressed include the use of steroids as a surgical adjunct and within a combination strategy. Uveitis and macular edema are common sight-threatening diseases or complications of diabetes and retinal vein occlusion for which no adequate treatment was available until recently. Both trainees and practitioners will find Intravitreal Steroids to be an invaluable aid in combating these blinding diseases.
Recently developed diagnostic and therapeutic technologies such as OCT-angiography and small gauge vitrectomy have influenced the modern treatment of diabetic retinopathy. This volume provides a summary of the state-of-the-art evidence-based approach to managing complications that may occur with diabetic retinopathy. It offers the latest information on pathogenesis and diagnosis, and highly experienced clinicians review the results of relevant randomized clinical trials that serve as the basis of current therapy. The book provides not only a summary of data from randomized trials but also an analysis and interpretation by internationally renowned experts. Ophthalmology residents, fellows, and practicing clinicians will find this book to be a useful reference when seeking evidence-based treatment strategies for various complications of diabetic retinopathy. It is also for researchers identifying new avenues of drug developments and for insurance professionals and health care policy administrators who are establishing evidence-based therapy guidelines for therapeutic intervention.
This book offers evidence-based information and a step-by-step guide on all surgical procedures relevant to inflammatory eye disease – a rarity in the textbook literature. Whereas drug management demands an interdisciplinary approach with well-trained specialists, surgical treatment of ocular complications due to inflammation requires an experienced surgeon. In this superbly practical new work, internationally renowned experts in the field provide answers to most of the frequently asked questions. Readers will find answers a host of subjects including the spectrum of clinical manifestations of inflammatory complications and the point at which medical therapy is no longer helpful.
This book is a comprehensive guide to the latest techniques in vitreoretinal surgery. Beginning with an introduction to the basics, each of the following chapters discusses surgical procedures for different retinal disorders. A complete section is dedicated to paediatric retinal surgery. Emerging techniques are also covered. This practical guide is an invaluable resource for both practising ophthalmic surgeons as well as trainees. More than 400 clinical photographs, diagrams and tables enhance learning. Key points Comprehensive guide to latest techniques in vitreoretinal surgery Covers numerous retinal disorders Paediatric retinal surgery covered Includes more than 400 clinical photographs, diagrams and tables
This book is an on-the-go resource on all aspects of endophthalmitis essential for practicing ophthalmologists and fellows in training. Endophthalmitis is a devastating condition of the eye. It occurs after surgery, trauma and by endogenous spread of infection. Endophthalmitis: A Guide to Diagnosis and Management deals comprehensively on all aspects of endophthalmitis management-the clinical and applied clinical aspects including the microbiology of the infecting organisms, pharmacokinetics of drugs used in management, investigations into cluster infection, and prophylaxis. An exclusive section is devoted to understanding the clinical trials in endophthalmitis and its analysis.
The use of pharmacotherapeutics in the management of retinal diseases is rapidly evolving, and a favorable therapy for the patient. Today anti-VEGF agents are used for a range of indications from inflammation-related choroidal neovascularization to macular edema secondary to retinal vein occlusion or diabetic retinopathy. Beyond VEGF, there is an array of target areas under investigation – not only for vascular pathologies such as age-related macular degeneration and diabetic eye disease, but also for degenerative, infectious and inflammatory retinal conditions. This publication discusses many aspects from basic research on the retina, to animal models for retinal drug delivery, retinal diseases that are amenable to pharmacotherapy and also drugs and mechanisms in retinal diseases. Anyone concerned with the management of retinal diseases - the general ophthalmologist and the retina specialist alike – will find this book indispensable reading.
Written by experts in the field, this comprehensive resource offers valuable information on the practical uses of drugs in primary eye care. Discussions of the pharmacology of ocular drugs such as anti-infective agents, anti-glaucoma drugs, and anti-allergy drugs lead to more in-depth information on ocular drugs used to treat a variety of disorders, including diseases of the eyelids, corneal diseases, ocular infections, and glaucoma. The book also covers ocular toxicology, focusing on drug interactions, ocular effects of systemic drugs, and life-threatening systemic emergencies. A logical organization makes it easy to find essential information. Complete coverage of the basic fundamentals of pharmacology such as ocular drug delivery and ocular drug formulations. Comprehensive reviews of the pharmacology of specific classes of agents such as the cycloplegics, antiglaucoma drugs, anti-inflammatory drugs, ocular irrigating solutions, and contact lens care products. In-depth information on ocular drugs used in clinical practice, including chapters on drugs used to treat eyelid disorders, lacrimal diseases, conjunctiva diseases, corneal diseases, allergies, uveitis, postoperative cataract, retinal diseases, and glaucoma. Coverage of ocular toxicology, including drug interactions, ocular effects of systemic drugs, and life-threatening systemic emergencies. Completely revised and updated content that reflects the latest advances in pharmacology. Updated information on post-operative drugs, including LASIK follow up medications. Expanded coverage in the chapters on Anti-infective Drugs, Anti-allergy Drugs and Decongestants, and Lubricants and Other Preparations of Ocular Surface Disease that includes the latest advancements in antibiotics and medications used to treat allergies and dry eye. A dosage quick reference guide on the inside front cover for quick and easy access. Information on the use of herbal medications.
Offering practical guidance to those who are learning or already performing office-based ophthalmic procedures, The Ophthalmic Office Procedures Handbook reviews all current procedural and surgical techniques routinely performed in an office or minor-surgery suite. Written by Leonid Skorin, Nate Lighthizer, Selina McGee, Richard Castillo, and Karl Stonecipher, this unique handbook is an excellent resource for all eye care providers—both those performing the procedures as well as those who are co-managing pre- and post-operative visits.
Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, Vitreous Microsurgery is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fifth Edition describes many new techniques and refinements of established procedures. More than 170 three-dimensional full-color illustrations—many by the Charles Retina Institute's resident medical artist, Byron Wood—enable surgeons to clearly visualize the techniques. This edition has new chapters on the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy and completely rewritten chapters on anesthesia and on retinopathy of prematurity. All illustrations have been updated, the majority to a 25-gauge approach instead of 20-gauge, and many new illustrations have been added. Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail. A companion website offers the fully searchable text and an image bank.
A clinically oriented, user-friendly text on the diagnosis and treatment of infectious diseases for practising clinicians, students and residents.