內容簡介
本書系統地介紹了眼科學的基本知識，包括眼科的解剖、生理、眼科學檢查法和各種眼科疾病的診斷與治療等。內容簡明易懂，圖文並茂，適合作為臨床醫學專業本科生中英文雙語教學、留學生英文教學、碩士研究生和博士研究生教學的眼科學教材。本書也可以作為其他醫學相關專業學生和青年醫生學習眼科學的參考教材。
前言
IncreasednumbersofabroadstudentsstudymedicineinChina,inwhichophthalmology
isanessentialbranch.Inspiteoftheadvancementofophthalmology,mostofmedicalcolleges
acceptingabroadstudentsuseself-editedteachingmaterialsratherthanformalones.Except
fortheabroadstudents,moreandmoredomesticmedicalundergraduateandpost-graduate
studentsleantolearnprofessionalophthalmologyinEnglish.Aimingtounifythetextbooksmore
applicableforallstudentstoacquaintwithophthalmologicalknowledge,webuiltanddesigned
thisbookinwaythatprovidesthemaximumamountofinformationinaconciseandclean
manner,withthesupportofTsinghuaUniversityPress.Additionally,theeditionofthisbook
reliedontheassistancesofauthoritiesinspecialfields,aswellastheguidanceofTextbookOf
OphthalmologyeditedbyHVNema.
Thepresentbookisorganizedinto32clearlydividedchapterswhichcovertheessentialtopics
thatmedicalstudentsrequiretomaster.Athoroughknowledgeofocularanatomyandphysiology
iscomprehensivelydealtwith,foritsessentialroleinaproperunderstandingofophthalmology.
Definitely,themaincontentsfocusedonthecommoneyediseases,includingetiology,pathological
mechanism,clinicalfeatures,diagnostictests,differentialdiagnosis,complications,andtreatment.
Additionally,practicalinstruments,clinicalentities,diagnosticprocedures,clinicalandsurgical
modalitieshavebeenencompassedinthepresentbook,whichwillhelpthestudentscultivatethe
logicofclinicalthoughteffectively.
Nearlyallchaptersareprofuselyillustratedcoloredphotographsandtablestohighlight
theretentionoftheclinicalfeaturesandgrabthedifferentialdiagnosiseasily.Attheendofeach
chapter,materialsandclinicaltrialswereferredtoareadded.
Wehopethatthisbookwillbeinstructivetothereadership,bothundergraduateand
postgraduatestudents,tostrengthenthebasicandclinicalknowledgestudy,wewishyousuccess
inyourfuturecareers.
Oct1,2015
目錄
1.AnatomyoftheEyeball..........................1
Anatomy1
DevelopmentofEye4
DevelopmentofOcularAdnexa7
Bibliography8
ReviewQuestions8
2.PhysiologyoftheEye............................9
CornealTransparency9
AqueousHumor9
PhysiologyofVision11
TheoriesofColorVision14
MetabolismofOcularTissues14
Bibliography16
ReviewQuestions16
3.NeurologyofVision.............................17
VisualPathway17
PupillaryPathwaysandReactions18
ExaminationofPupil20
Bibliography20
ReviewQuestions20
4.ElementaryOptics...............................21
Light21
ReflectionofLight21
RefractionofLight23
DispersionofLight23
Bibliography25
ReviewQuestions25
5.PhysiologicalOptics.............................26
ReducedEye26
CausesofAmetropia27
AberrationinRetinalImages28
Bibliography28
ReviewQuestions28
6.ErrorsofRefraction.............................29
Ametropia29
Myopia29
Hyperopia(Hypermetropia)32
Astigmatism35
Anisometropia36
Asthenopia37
Bibliography37
ReviewQuestions37
7.DeterminationoftheRefraction.........38
Autorefractometer38
Retinoscopy38
Keratometry(Ophthalmometry)40
SubjectiveVerificationofRefraction41
CorrectionofNearVision43
PrescriptionofSpectacles44
ContactLenses45
Bibliography47
ReviewQuestions47
8.AccommodationanditsAnomalies.......48
Accommodation48
AnomaliesofAccommodation49
Bibliography53
ReviewQuestions53
9.ExaminationoftheEyeandDiagnosticProcedures...54
HistoryTaking54
ExaminationoftheEye55
ExaminationofRetinalFunctions76
AncillaryDiagnosticProcedures82
Bibliography88
ReviewQuestions88
10.OcularTherapeutics.............................89
ChoiceofAntimicrobialAgent90
DrugDeliverySystem90
Chemotherapy92
Antibiotics93
AntifungalAgents98
AntiviralAgents99
Anti-inflammatoryDrugs100
NonsteroidalAnti-inflammatory
Drugs(NSAIDs)101
AntiallergicAgents102
ImmunosuppressiveAgents102
DrugsActinguponIntraocularMuscles103
AntiglaucomaDrugs104
Antimetabolites107
Anti-vascularEndothelialGrowth
FactorAgents107
ViscoelasticSubstances108
OcularSideEffectsofSystemicDrugs109
Bibliography110
ReviewQuestions110
11.DiseasesoftheConjunctiva...............111
Anatomy111
SymptomaticConditionsofthe
Conjunctiva113
InflammationoftheConjunctiva(Conjunctivitis)116
DegenerativeChangesintheConjunctiva137
CystsandTumorsoftheConjunctiva139
Bibliography142
ReviewQuestions142
12.DiseasesoftheCornea.......................143
Anatomy143
DiseasesoftheCornea144
InflammationoftheCornea145
UlcerativeKeratitis145
NonulcerativeKeratitis154
DegenerativeConditionsoftheCornea164
HereditaryCornealDystrophies165
CongenitalAnomaliesoftheCornea170
SymptomaticConditionsoftheCornea171
OperationsUpontheCornea174
Bibliography176
ReviewQuestions176
13.DiseasesoftheSclera.........................177
Anatomy177
InflammationoftheSclera178
Staphylomas181
PigmentationofSclera182
Bibliography183
ReviewQuestions183
14.DiseasesoftheUvealTract................184
Anatomy184
DiseasesoftheUvealTract186
InflammationoftheUvealTract(Uveitis)186
DegenerativeChangesintheUvealTract207
CongenitalAnomaliesoftheUvealTract208
NeoplasticDisorders209
OperationsupontheIris209
Bibliography210
ReviewQuestions210
15.Glaucoma.............................................211
AnatomyoftheAngle212
ClassificationofGlaucomas213
DevelopmentalGlaucoma(PrimaryCongenitalGlaucomas)213
PrimaryOpen-angleGlaucoma216
PrimaryAngle-closureGlaucoma231
SecondaryGlaucomas238
Bibliography247
ReviewQuestions247
16.DiseasesoftheLens..........................248
Anatomy248
DiseasesoftheLens250
Cataract250
SurgeryforSenileCataract263
DislocationandSubluxationofLens277
Aphakia279
AfterCataractorSecondaryCataract281
CongenitalAnomaliesoftheLens281
Bibliography282
ReviewQuestions282
17.DiseasesoftheVitreous....................283
Anatomy283
DiseasesoftheVitreous284
ParsPlanaSurgery287
Bibliography287
ReviewQuestions287
18.DiseasesoftheRetina.......................288
Anatomy288
DiseasesoftheRetina289
MacularDystrophies310
NewFormationsintheRetina311
DetachmentoftheRetina312
Bibliography316
ReviewQuestions316
19.DiseasesoftheOpticNerve...............317
AnatomyofOpticNerve317
DiseasesofOpticNerve318
TumorsofOpticNerve329
Bibliography329
ReviewQuestions329
20.LesionsoftheVisualPathway...........330
LesionsoftheVisualPathway330
SymptomaticVisualDisturbances334
Bibliography337
ReviewQuestions337
21.IntraocularTumors............................338
TumorsoftheIris338
TumoroftheCiliaryBody339
TumorsoftheChoroid339
Retinoblastoma342
EnucleationoftheEyeball346
ExenterationoftheOrbit347
MetastaticTumors347
Bibliography348
ReviewQuestions348
22.InjurytotheEye.................................349
OcularInjuries349
ExtraocularForeignBodies350
BluntTrauma351
FractureoftheOrbit357
PenetratingInjuries358
SympatheticOphthalmitis366
ChemicalInjuries367
InjurybyPhysicalAgents370
Bibliography371
ReviewQuestions371
23.DisordersofOcularMotility:Strabismus...372
AnatomyofExtraocularMuscles372
OcularMovements374
NeurogenicControlofBinocularMovements377
BinocularVision378
Strabismus(Squint)380
IncomitantStrabismus381
RestrictiveStrabismus384
ComitantStrabismus385
StrabismusSurgery393
Nystagmus395
Bibliography396
ReviewQuestions396
24.DiseasesoftheLids...........................397
Anatomy397
CongenitalAnomaliesoftheLids399
EdemaoftheLids400
InflammationoftheLids400
InflammationoftheGlandsoftheLids403
DeformitiesoftheLidMarginandPalpebralAperture405
TumorsoftheLids414
Bibliography417
ReviewQuestions417
25.DiseasesoftheLacrimalApparatus.....418
Anatomy418
DiseasesoftheLacrimalGland419
PrecornealTearFilm421
DryEyeSyndrome422
DiseasesoftheLacrimalPassage425
DiseasesoftheLacrimalSac427
SurgeriesontheLacrimalPassage429
TumorsoftheLacrimalSac432
Bibliography432
ReviewQuestions432
26.DiseasesoftheOrbit.........................433
Anatomy433
DiseasesoftheOrbit435
CongenitalandDevelopmentalAnomaliesoftheOrbit435
InflammatoryDiseasesoftheOrbit436
Proptosis443
Enophthalmos446
TumorsoftheOrbit446
OrbitalTrauma451
OrbitalVascularLesions453
Bibliography455
ReviewQuestions455
27.CryotherapyandLaserTherapyinOphthalmology......456
Cryotherapy456
LaserTherapy458
Bibliography460
ReviewQuestions461
28.OcularManifestationsofDiseases
oftheCentralNervousSystem.....462
InflammatoryDiseases463
DemyelinatingDiseases464
VascularDisorders467
HeadInjuries473
IntracranialTumors473
DisordersofCranialNerves478
Phakomatoses(NeurocutaneousSyndromes)480
HereditaryandDegenerativeDiseases481
Bibliography484
ReviewQuestions484
29.OcularManifestationsofSystemicDisorders......485
InfectiveDiseases486
AcquiredImmunodeficiencySyndrome489
ParasiticInfestations490
CollagenDiseases491
RespiratoryDisorders493
InbornErrorsofMetabolism493
MuscularDisorders495
SkinDiseases496
HematologicalDisorders497
VascularDisorders497
RenalDisorders498
EndocrineDisorders498
NutritionalDeficiencies499
Bibliography500
ReviewQuestions500
30.OphthalmicInstruments.....................501
Instruments502
SurgicalInstrumentSets516
CleaningofOphthalmicInstruments530
SterilizationofOphthalmicInstruments530
SterilizationofOperationTheater531
Bibliography531
ReviewQuestions531
31.PracticalOphthalmology...................532
LongClinicalCases533
ShortClinicalCases533
PartI:ModelCases534
LongClinicalCases535
ShortClinicalCases564
PartII:DarkroomExamination598
PartIII:Ophthalmic
InstrumentsandTheirUses606
PartIV:GeneralVivaVoce613
Bibliography626
32.LocalAnesthesiafor
OcularSurgery...............................627
Anesthesia627
Bibliography630
ReviewQuestions630
