Coscas / Cunha-Vaz / Loewenstein Macular Edema

A Practical Approach.
1. Auflage 2010
ISBN: 978-3-8055-9435-6
Verlag: S. Karger
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, Band 47, 216 Seiten

Reihe: Developments in Ophthalmology

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.

Autoren/Hrsg.

Coscas, G.

Cunha-Vaz, J.

Loewenstein, A.

Soubrane, G.

Weitere Mitwirkende

Bandello, F.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Augenheilkunde, Optometrie

Inhaltsverzeichnis

1;Cover;1
2;Contents;5
3;List of Contributors;6
4;Preface;9
5;Chapter 1: Macular Edema: Definition and Basic Concepts;11
5.1;Abstract;11
5.2;Intracellular Edema;11
5.3;Extracellular Edema;12
5.4;Clinical Evaluation of Macular Edema;13
5.5;References;19
6;Chapter 2: General Pathophysiology;20
6.1;Abstract;20
6.2;Normal Retinal Anatomy and Physiology;20
6.3;Related Ocular Disorders;23
6.4;Vascular Components;28
6.5;Inflammatory Components;31
6.6;Ischemia;34
6.7;References;36
7;Chapter 3: Diagnosis and Detection;37
7.1;Abstract;37
7.2;Introduction;37
7.3;Considering Macular Edema Based on the Disease;42
7.4;References;58
8;Chapter 4: Macular Edema – Rationale for Therapy;59
8.1;Abstract;59
8.2;Rationale for Medical Management;60
8.3;Rationale for Surgical Management of Macular Edema by Vitrectomy;64
8.4;References;66
9;Chapter 5: Drug Delivery to the Posterior Segment of the Eye;69
9.1;Abstract;69
9.2;The Posterior Segment of the Eye and the Blood-Ocular Barrier;69
9.3;Strategies for Delivering Drugs to the Posterior Segment;69
9.4;Local Therapy;70
9.5;Intravitreal Injections;74
9.6;Conclusion;81
9.7;References;81
10;Chapter 6: Diabetic Macular Edema;83
10.1;Abstract;83
10.2;Introduction and Definition;83
10.3;Epidemiology;88
10.4;Medical Care;94
10.5;Surgical Care;102
10.6;Follow-Up and Prognosis;114
10.7;Conclusion;114
10.8;References;115
11;Chapter 7: Retinal Vein Occlusions;121
11.1;Abstract;121
11.2;Epidemiology;122
11.3;Clinical Course;125
11.4;Diagnosis: Imaging and Functional Testing,Stages and Classifications;126
11.5;Management;131
11.6;Conclusion;138
11.7;References;139
12;Chapter 8: Cystoid Macular Edema in Uveitis;146
12.1;Abstract;146
12.2;Epidemiology;146
12.3;Pathophysiology;147
12.4;Diagnostics;148
12.5;Clinical Course and Management;150
12.6;References;155
13;Chapter 9: Postsurgical Cystoid Macular Edema;158
13.1;Abstract;158
13.2;Definition and Epidemiology;158
13.3;Pathology and Pathophysiology;159
13.4;Risk Factors;159
13.5;Diagnosis;160
13.6;Stages;162
13.7;Classification;162
13.8;Differential Diagnosis;162
13.9;Management;163
13.10;Prevention;167
13.11;Key Messages;167
13.12;Best Sequential Management;167
13.13;References;168
14;Chapter 10: Retinitis Pigmentosa and Other Dystrophies;170
14.1;Abstract;170
14.2;Factors of Visual Acuity Decrease and Retinitis Pigmentosa;170
14.3;Retinitis Pigmentosa and Macular Edema;171
14.4;Melanoma and Cancer-Associated Retinopathy;175
14.5;References;176
15;Chaper 11: Macular Edema of Choroidal Origin;178
15.1;Abstract;178
15.2;Definition;178
15.3;Pathophysiology: Theories of Macular Edema in Age-Related Macular Degeneration;178
15.4;Clinical Findings;181
15.5;Treatment Approaches;187
15.6;Conclusion;190
15.7;References;191
16;Chapter 12: Miscellaneous;193
16.1;Abstract;193
16.2;Radiation Therapy;193
16.3;Macular Edema Resulting from Systemic or Topical Treatment;195
16.4;Epiretinal Membrane and Traction Syndrome;196
16.5;Retinal Detachment;201
16.6;Tractional Myopic Vitreoschisis;202
16.7;Choroidal Hemangioma;202
16.8;Retinal Macroaneurysm;204
16.9;Conclusions;206
16.10;References;206
17;Author Index;209
18;Subject Index;210