Medical retina is a complex subspecialty with a steep learning curve, requiring vast and diverse knowledge in basic science, diagnostic imaging, medical treatment, and surgical techniques. Clinical Cases in Medical Retina: A Diagnostic Approach provides highly visual, case-based guidance on the challenging process of gathering patient information, ordering appropriate testing, and arriving at an accurate diagnosis and effective treatment plan. In one convenient volume, it exposes retina fellows and specialists, ophthalmology residents, and other eye care clinicians to a wide variety of patient presentations and scenarios, including rare conditions and special populations.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Inside front cover - p. iii 5. Copyright - p. iii 6. Dedication - p. iii 7. Contributors - p. iii 8. Preface - p. iii 9. List of Illustrations - p. iii 10. List of Tables - p. iii 11. Section 1: Hereditary Macular Conditions - p. iii 12. Chapter 1: Yellow macular spots in a child - p. iii 13. Chapter 2: Long-standing photophobia, reduced visual acuity, myopia, and dyschromatopsia in a young adult male patient - p. 8 14. Chapter 3: Bilateral progressive severe loss of vision and obesity - p. 16 15. Chapter 4: Bilateral peripheral retinal and macular schisis in a young boy - p. 23 16. Chapter 5: Congenital blindness and retinopathy in a young girl - p. 30 17. Chapter 6: Progressive nyctalopia and tunnel vision in a young man - p. 37 18. Chapter 7: Rapid progression of vision loss in a child with pigmentary retinopathy - p. 45 19. Chapter 8: Unilateral tractional retinal detachment in a 6-month-old female infant with erythematous skin lesions - p. 48 20. Chapter 9: Bilateral peripheral pigmentary changes in a woman - p. 55 21. Chapter 10: I was never good at ghosts in the graveyard - p. 60 22. Chapter 11: Bilateral perifoveal degeneration in a woman - p. 65 23. Chapter 12: Autosomal dominant radial drusen - p. 70 24. Section 2: Degenerative/Deficiency - p. 75 25. Chapter 13: Bilateral asymptomatic pigmentary retinopathy - p. 75 26. Chapter 14: Unilateral macular schisis with blurred vision in a woman - p. 81 27. Chapter 15: Acute vision loss in an elderly patient associated with unilateral intraretinal blot hemorrhage in the macula - p. 87 28. Chapter 16: Bilateral macular and peripheral drusen in a young man - p. 94 29. Chapter 17: Long-standing macular scars - p. 99 30. Chapter 18: Bilateral presentation of bull’s eye maculopathy - p. 106 31. Chapter 19: Late-onset nyctalopia and widespread geographical atrophy - p. 112 32. Chapter 20: Bilateral gradual visual decline with subtle parafoveal graying and refractile foci - p. 119 33. Chapter 21: Transient peripheral white retinal lesions - p. 126 34. Chapter 22: Bilateral atypical drusen and slow dark adaptation in a woman - p. 131 35. Chapter 23: Bilateral diffuse macular and peripheral yellow spots - p. 138 36. Section 3: Inflammatory/Autoimmune Macular Diseases - p. 144 37. Chapter 24: Night blindness in a man with a normal fundus examination - p. 144 38. Chapter 25: Hypopyon uveitis - p. 151 39. Chapter 26: Treatment-resistant bilateral neurosensory macular detachment - p. 159 40. Chapter 27: Malignant photopsias - p. 165 41. Chapter 28: Unilateral paracentral scotoma and photopsia in a young woman with myopia - p. 173 42. Chapter 29: Persistent bilateral flashes with vitreous cell and haze - p. 179 43. Chapter 30: Sudden-onset bilateral scotomas with punched-out, pigmented lesions - p. 184 44. Chapter 31: Bilateral multi-focal serous retinal detachments - p. 194 45. Chapter 32: Bilateral multifocal placoid lesions in a young woman - p. 200 46. Chapter 33: Bilateral progressive vision loss in an otherwise healthy man - p. 206 47. Chapter 34: Flashes and floaters with a well-demarcated peripapillary lesion of the right eye - p. 211 48. Chapter 35: Acute vision loss in a pregnant woman associated with bilateral serous retinal detachment - p. 218 49. Section 4: Infectious Macular Diseases - p. 224 50. Chapter 36: Unilateral vision loss in a 45-year-old woman - p. 224 51. Chapter 37: Unilateral painless vision loss with retinal detachment - p. 230 52. Chapter 38: Unilateral vitreous cell and chorioretinal lesions in an asymptomatic woman - p. 236 53. Chapter 39: Bilateral chorioretinal scars and pigment mottling in a newborn - p. 240 54. Chapter 40: Unilateral floaters and vitreous cells - p. 247 55. Section 5: Retinovascular - p. 252 56. Chapter 41: Bilateral retinal hemorrhages in a young man - p. 252 57. Chapter 42: Multiple branch retinal artery occlusions in a woman - p. 259 58. Chapter 43: Unilateral disc edema in an elderly woman - p. 268 59. Chapter 44: Peripheral transient fluctuating retinal lesion - p. 272 60. Chapter 45: Acute vision loss with peripapillary cotton wool spots - p. 276 61. Chapter 46: Unilateral leukocoria - p. 281 62. Chapter 47: Sudden-onset unilateral vision loss in a young patient with a “cherry-red spot” - p. 287 63. Chapter 48: Takayasu arteritis: Bilateral progressive loss of vision with aneurysmal dilatation - p. 292 64. Chapter 49: Perifoveal retinal whitening and scotomas in a sickle cell patient - p. 297 65. Section 6: Idiopathic Macular Conditions - p. 307 66. Chapter 50: A hypopigmented lesion in a baby’s eye - p. 307 67. Chapter 51: Unilateral painless vision loss after a viral illness - p. 311 68. Chapter 52: Bilateral presentation of macular schisis in a woman - p. 319 69. Chapter 53: Bilateral vitelliform detachments in a woman - p. 325 70. Chapter 54: Hypopigmented subretinal lesion in an elderly man - p. 330 71. Chapter 55: Jello-like circles in my vision - p. 335 72. Section 7: Toxic/Secondary - p. 342 73. Chapter 56: Bilateral maculopathy in a middle-aged woman with interstitial cystitis - p. 342 74. Chapter 57: Bilateral chronic photopsias in a woman - p. 348 75. Chapter 58: Bilateral serous retinal detachments in a man with metastatic melanoma - p. 353 76. Chapter 59: Bilateral blurred vision and eye redness with bacillary and serous retinal detachments - p. 363 77. Chapter 60: Bilateral decreased vision in a middle-aged man with optical coherence tomography findings of foveal ellipsoid disruption - p. 368 78. Chapter 61: Bilateral central scotoma with macular pigmentary changes in a young man - p. 376 79. Section 8: Neoplastic/Infiltrative - p. 382 80. Chapter 62: Unilateral exudative retinal detachment in an elderly woman - p. 382 81. Chapter 63: Perifoveal calcified lesion in young girl patient - p. 390 82. Chapter 64: Bilateral vitreous floaters - p. 396 83. Chapter 65: Familial dense vitreous floaters in a man - p. 402 84. Chapter 66: Asymptomatic bilateral retinal white spots - p. 409 85. Chapter 67: Unilateral decreased vision associated with a peripheral mass in a young male patient - p. 416 86. Chapter 68: Peripheral proliferative retinal lesion - p. 422 87. Chapter 69: Bilateral severe vision loss in a middle-aged woman with constitutional symptoms - p. 428 88. Chapter 70: Diffuse choroidal thickness in a patient with migraine headaches - p. 435 89. Chapter 71: Vascularized, pigmented macular lesion - p. 441 90. Chapter 72: Unilateral macular lesion in a young man - p. 446 91. Chapter 73: A young boy who failed routine school screening with unilateral decreased vision and an irregular reddish macular lesion - p. 449 92. Chapter 74: Unilateral loss of vision with a vascular retinal lesion - p. 454 93. Index - p. 458 94. Inside back cover - p. 458
Medical retina is a complex subspecialty with a steep learning curve, requiring vast and diverse knowledge in basic science, diagnostic imaging, medical treatment, and surgical techniques. Clinical Cases in Medical Retina: A Diagnostic Approach provides highly visual, case-based guidance on the challenging process of gathering patient information, ordering appropriate testing, and arriving at an accurate diagnosis and effective treatment plan. In one convenient volume, it exposes retina fellows and specialists, ophthalmology residents, and other eye care clinicians to a wide variety of patient presentations and scenarios, including rare conditions and special populations.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Inside front cover - p. iii 5. Copyright - p. iii 6. Dedication - p. iii 7. Contributors - p. iii 8. Preface - p. iii 9. List of Illustrations - p. iii 10. List of Tables - p. iii 11. Section 1: Hereditary Macular Conditions - p. iii 12. Chapter 1: Yellow macular spots in a child - p. iii 13. Chapter 2: Long-standing photophobia, reduced visual acuity, myopia, and dyschromatopsia in a young adult male patient - p. 8 14. Chapter 3: Bilateral progressive severe loss of vision and obesity - p. 16 15. Chapter 4: Bilateral peripheral retinal and macular schisis in a young boy - p. 23 16. Chapter 5: Congenital blindness and retinopathy in a young girl - p. 30 17. Chapter 6: Progressive nyctalopia and tunnel vision in a young man - p. 37 18. Chapter 7: Rapid progression of vision loss in a child with pigmentary retinopathy - p. 45 19. Chapter 8: Unilateral tractional retinal detachment in a 6-month-old female infant with erythematous skin lesions - p. 48 20. Chapter 9: Bilateral peripheral pigmentary changes in a woman - p. 55 21. Chapter 10: I was never good at ghosts in the graveyard - p. 60 22. Chapter 11: Bilateral perifoveal degeneration in a woman - p. 65 23. Chapter 12: Autosomal dominant radial drusen - p. 70 24. Section 2: Degenerative/Deficiency - p. 75 25. Chapter 13: Bilateral asymptomatic pigmentary retinopathy - p. 75 26. Chapter 14: Unilateral macular schisis with blurred vision in a woman - p. 81 27. Chapter 15: Acute vision loss in an elderly patient associated with unilateral intraretinal blot hemorrhage in the macula - p. 87 28. Chapter 16: Bilateral macular and peripheral drusen in a young man - p. 94 29. Chapter 17: Long-standing macular scars - p. 99 30. Chapter 18: Bilateral presentation of bull’s eye maculopathy - p. 106 31. Chapter 19: Late-onset nyctalopia and widespread geographical atrophy - p. 112 32. Chapter 20: Bilateral gradual visual decline with subtle parafoveal graying and refractile foci - p. 119 33. Chapter 21: Transient peripheral white retinal lesions - p. 126 34. Chapter 22: Bilateral atypical drusen and slow dark adaptation in a woman - p. 131 35. Chapter 23: Bilateral diffuse macular and peripheral yellow spots - p. 138 36. Section 3: Inflammatory/Autoimmune Macular Diseases - p. 144 37. Chapter 24: Night blindness in a man with a normal fundus examination - p. 144 38. Chapter 25: Hypopyon uveitis - p. 151 39. Chapter 26: Treatment-resistant bilateral neurosensory macular detachment - p. 159 40. Chapter 27: Malignant photopsias - p. 165 41. Chapter 28: Unilateral paracentral scotoma and photopsia in a young woman with myopia - p. 173 42. Chapter 29: Persistent bilateral flashes with vitreous cell and haze - p. 179 43. Chapter 30: Sudden-onset bilateral scotomas with punched-out, pigmented lesions - p. 184 44. Chapter 31: Bilateral multi-focal serous retinal detachments - p. 194 45. Chapter 32: Bilateral multifocal placoid lesions in a young woman - p. 200 46. Chapter 33: Bilateral progressive vision loss in an otherwise healthy man - p. 206 47. Chapter 34: Flashes and floaters with a well-demarcated peripapillary lesion of the right eye - p. 211 48. Chapter 35: Acute vision loss in a pregnant woman associated with bilateral serous retinal detachment - p. 218 49. Section 4: Infectious Macular Diseases - p. 224 50. Chapter 36: Unilateral vision loss in a 45-year-old woman - p. 224 51. Chapter 37: Unilateral painless vision loss with retinal detachment - p. 230 52. Chapter 38: Unilateral vitreous cell and chorioretinal lesions in an asymptomatic woman - p. 236 53. Chapter 39: Bilateral chorioretinal scars and pigment mottling in a newborn - p. 240 54. Chapter 40: Unilateral floaters and vitreous cells - p. 247 55. Section 5: Retinovascular - p. 252 56. Chapter 41: Bilateral retinal hemorrhages in a young man - p. 252 57. Chapter 42: Multiple branch retinal artery occlusions in a woman - p. 259 58. Chapter 43: Unilateral disc edema in an elderly woman - p. 268 59. Chapter 44: Peripheral transient fluctuating retinal lesion - p. 272 60. Chapter 45: Acute vision loss with peripapillary cotton wool spots - p. 276 61. Chapter 46: Unilateral leukocoria - p. 281 62. Chapter 47: Sudden-onset unilateral vision loss in a young patient with a “cherry-red spot” - p. 287 63. Chapter 48: Takayasu arteritis: Bilateral progressive loss of vision with aneurysmal dilatation - p. 292 64. Chapter 49: Perifoveal retinal whitening and scotomas in a sickle cell patient - p. 297 65. Section 6: Idiopathic Macular Conditions - p. 307 66. Chapter 50: A hypopigmented lesion in a baby’s eye - p. 307 67. Chapter 51: Unilateral painless vision loss after a viral illness - p. 311 68. Chapter 52: Bilateral presentation of macular schisis in a woman - p. 319 69. Chapter 53: Bilateral vitelliform detachments in a woman - p. 325 70. Chapter 54: Hypopigmented subretinal lesion in an elderly man - p. 330 71. Chapter 55: Jello-like circles in my vision - p. 335 72. Section 7: Toxic/Secondary - p. 342 73. Chapter 56: Bilateral maculopathy in a middle-aged woman with interstitial cystitis - p. 342 74. Chapter 57: Bilateral chronic photopsias in a woman - p. 348 75. Chapter 58: Bilateral serous retinal detachments in a man with metastatic melanoma - p. 353 76. Chapter 59: Bilateral blurred vision and eye redness with bacillary and serous retinal detachments - p. 363 77. Chapter 60: Bilateral decreased vision in a middle-aged man with optical coherence tomography findings of foveal ellipsoid disruption - p. 368 78. Chapter 61: Bilateral central scotoma with macular pigmentary changes in a young man - p. 376 79. Section 8: Neoplastic/Infiltrative - p. 382 80. Chapter 62: Unilateral exudative retinal detachment in an elderly woman - p. 382 81. Chapter 63: Perifoveal calcified lesion in young girl patient - p. 390 82. Chapter 64: Bilateral vitreous floaters - p. 396 83. Chapter 65: Familial dense vitreous floaters in a man - p. 402 84. Chapter 66: Asymptomatic bilateral retinal white spots - p. 409 85. Chapter 67: Unilateral decreased vision associated with a peripheral mass in a young male patient - p. 416 86. Chapter 68: Peripheral proliferative retinal lesion - p. 422 87. Chapter 69: Bilateral severe vision loss in a middle-aged woman with constitutional symptoms - p. 428 88. Chapter 70: Diffuse choroidal thickness in a patient with migraine headaches - p. 435 89. Chapter 71: Vascularized, pigmented macular lesion - p. 441 90. Chapter 72: Unilateral macular lesion in a young man - p. 446 91. Chapter 73: A young boy who failed routine school screening with unilateral decreased vision and an irregular reddish macular lesion - p. 449 92. Chapter 74: Unilateral loss of vision with a vascular retinal lesion - p. 454 93. Index - p. 458 94. Inside back cover - p. 458
