: G. Coscas, J. Cunha-Vaz, A. Loewenstein, G. Soubrane
: Macular Edema A Practical Approach.
: Karger
: 9783805594356
: 1
: CHF 86.50
:
: Klinische Fächer
: English
: 216
: DRM
: PC/MAC/eReader/Tablet
: PDF/ePUB
For many years diagnosing macular edema at an early stage has been a main difficulty. Recently, multiple and remarkable advances of modern imaging technologies which allow recognition of the main etiologies, have immensely improved its diagnosis and treatment. In this volume different patterns and etiologies of macular edema are described and the importance of preserving the photoreceptors at an early stage in order to retain center visual acuity is discussed. It brings together the most recent data and evidence-based medicine, and, on the other hand, the pathophysiological basis of macular edema and the different approaches for drug delivery to the posterior segment are presented. Recommendations for treatment procedures or different therapies have been carefully analyzed and considered prior to inclusion. 'Macular Edema - A Practical Approach' provides the ophthalmologist with a synthesis of knowledge to diagnose, to determine etiology, and to offer the patient viable treatment options for his benefit.
Cover1
Contents5
List of Contributors6
Preface9
Chapter 1: Macular Edema: Definition and Basic Concepts11
Abstract11
Intracellular Edema11
Extracellular Edema12
Clinical Evaluation of Macular Edema13
References19
Chapter 2: General Pathophysiology20
Abstract20
Normal Retinal Anatomy and Physiology20
Related Ocular Disorders23
Vascular Components28
Inflammatory Components31
Ischemia34
References36
Chapter 3: Diagnosis and Detection37
Abstract37
Introduction37
Considering Macular Edema Based on the Disease42
References58
Chapter 4: Macular Edema – Rationale for Therapy59
Abstract59
Rationale for Medical Management60
Rationale for Surgical Management of Macular Edema by Vitrectomy64
References66
Chapter 5: Drug Delivery to the Posterior Segment of the Eye69
Abstract69
The Posterior Segment of the Eye and the Blood-Ocular Barrier69
Strategies for Delivering Drugs to the Posterior Segment69
Local Therapy70
Intravitreal Injections74
Conclusion81
References81
Chapter 6: Diabetic Macular Edema83
Abstract83
Introduction and Definition83
Epidemiology88
Medical Care94
Surgical Care102
Follow-Up and Prognosis114
Conclusion114
References115
Chapter 7: Retinal Vein Occlusions121
Abstract121
Epidemiology122
Clinical Course125
Diagnosis: Imaging and Functional Testing,Stages and Classifications126
Management131
Conclusion138
References139
Chapter 8: Cystoid Macular Edema in Uveitis146
Abstract146
Epidemiology146
Pathophysiology147
Diagnostics148
Clinical Course and Management150
References155
Chapter 9: Postsurgical Cystoid Macular Edema158
Abstract158
Definition and Epidemiology158
Pathology and Pathophysiology159
Risk Factors159
Diagnosis160
Stages162
Classification162
Differential Diagnosis162
Management163
Prevention167
Key Messages167
Best Sequential Management167
References168
Chapter 10: Retinitis Pigmentosa and Other Dystrophies170
Abstract170
Factors of Visual Acuity Decrease and Retinitis Pigmentosa170
Retinitis Pigmentosa and Macular Edema171
Melanoma and Cancer-Associated Retinopathy175
References176
Chaper 11: Macular Edema of Choroidal Origin178
Abstract178
Definition178
Pathophysiology: Theories of Macular Edema in Age-Related Macular Degeneration178
Clinical Findings181
Treatment Approaches187
Conclusion190
References191
Chapter 12: Miscellaneous193
Abstract193
Radiation Therapy193
Macular Edema Resulting from Systemic or Topical Treatment195
Epiretinal Membrane and Traction Syndrome196
Retinal Detachment201
Tractional Myopic Vitreoschisis202
Choroidal Hemangioma202
Retinal Macroaneurysm204
Conclusions206
References206
Author Index209
Subject Index210