Free Manual of Retinal Diseases PDF Download Medicalbooks

Free Manual of Retinal Diseases PDF Download Medicalbooks

This book is a comprehensive source of authoritative information on the clinical features,diagnosis, differential diagnosis, and management of medical and surgical retinal diseases. The Manual has 122 chapters, organized in 18 sections covering medical and surgical aspects of retinal diseases such as trauma, AMD, Uveitis, infections, endophthalmitis, pediatric diseases, dystrophies, and tumors. Easy-to-read chapters convey the fundamental concepts with the aid of clinical photographs, imaging studies (including fluorescein and indocyanine angiograms, ultrasonograms, CT scans, and MRI scans) and tables. The manual is of value to a wide range of practitioners and trainees, including students,residents, fellows and ophthalmologists who treat retinal diseases.

Prognosis largely depends upon the mechanism, location, and size of the injury as
well as the material involved and the time to removal. Prior to surgical exploration,
a fox shield, antiemetics, intravenous antibiotics, and update of tetanus coverage
should be considered. Prompt surgical exploration, wound closure, removal of the
IOFB (if possible), and antibiotic therapy should be initiated (Fig. 3.3).
Endophthalmitis occurs in 2–7 % of penetrating injuries. The incidence is higher
in case with IOFB as well as those occurring in the rural setting, with dirty wounds,
or where vegetable matter is involved. The risk of endophthalmitis may be reduced
with prompt wound closure, removal of the IOFB, and use of prophylactic antibiotics (intravenous, subconjunctival, and intravitreal). Bacillus cereus (usually sensitive to intravitreal vancomycin or clindamycin) accounts for almost 25 % of
posttraumatic endophthalmitis. It is notorious for its rapid and severe course that
often leads to severe vision loss or loss of the eye. Intraoperative cultures should be
taken if infection is suspected.
The reaction of the eye to retained IOFBs varies greatly depending on the material, sterility, and location. Materials such as stone, sand, glass, porcelain, and plastic are generally well tolerated.

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