Download e-book for kindle: 2011-2012 Basic and Clinical Science Course, Section 12: by Carl D. Regillo MD
By Carl D. Regillo MD
Reports the elemental anatomy of the retina and diagnostic ways to retinal sickness. contains broad examinations of issues of the retina and vitreous, together with affliction, irritation, hereditary dystrophies, abnormalities and trauma. Discusses laser treatment and vitreoretinal surgical procedure. final significant revision 2008-2009.
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Extra resources for 2011-2012 Basic and Clinical Science Course, Section 12: Retina and Vitreous (Basic & Clinical Science Course)
Inner ret inal disease may selectively dimini sh the b-wave. (Reprinted with permission from Marmor Digest. 1979:41:13-29) MF. Th e management of retinitis pigmentosa and al/ied diseases. Ophtha lmology CHAPTER 3: Retina l Physiology and Psychophysics. 41 ti ming. ERG timing is most easily assessed using the 30-Hz flicker response, which normally shows a b-wave implicit tim e (stimulus-to-peak interval) ofless than 32 msec. The ERG can be useful in evaluating chronic ischemic damage from vascular disease.
P" 50 msec Figure 3-5 Diag ram of th e pattern ERG (PERGI. e licited by alternation of a checkerboard pat- tern. The major negative and positive waves are labeled according to t hei r typ ica l latenc ies. (Reprinted by permission of Kluwer Academic Publishers from Marmor M F, Halder GE, Parciatti 11, Trick GL, Zrenner E Guidelines far basic pattern elec troretin o~raphy: recommendations by the Interna tional Society for C/inical Electrophysialagyof Visian. ) 40 • Retina and Vitreous Applications and Ca utions The ERG is important for diagnosing and following retinal dystrophies and degenerations.
The patient may be reassessed over hours or days as necessary until the edema, pain, and redness resolve. Although teratogenic effects have not been identifie d, m any ophthalmologists try to avoid FA in pregnant women in the first trimester unless absolutely necessary. Also of note, fl uorescein is transmitted to breast milk in lactating wo men. Lower doses of fluorescein should be used in patients with renal comprom ise. Berkow JW, Flower R\·V, Orth DH, Kelley JS. Fluorescein and Indocyanine Green Angiography: Technique and Interpretation .
2011-2012 Basic and Clinical Science Course, Section 12: Retina and Vitreous (Basic & Clinical Science Course) by Carl D. Regillo MD