By Simon Nicholas Madge, James Kersey, Matthew Hawker, Meon Lamont (eds.)
A pragmatic guide at the exam suggestions, gear, investigations and optical suggestions which the start trainee in ophthalmology must master.
- available and accomplished consultant to the sensible abilities and ideas with which the trainee ophthalmologist has to be familiar
- Clear counsel on use of apparatus which takes trainees huge perform to grasp -- e.g. slit-lamps, ophthalmoscopes, phacoemulsification machines and injectable or foldable lenses
- Covers eye exam recommendations and investigations akin to visible fields and fluorescein angiography
- Very transparent and simply comprehensible part on scientific optics, explaining techniques comparable to ametropia
- Illustrated in color throughout
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Extra info for Clinical Techniques in Ophthalmology
Am. J. Ophthalmol. 1993, 115, 347–350. 41. Mader TH, Taylor GR, Hunter N, Caputo M, Meehan RT. Intraocular pressure, retinal vascular, and visual acuity changes during 48 hours of 10 degree head-down tilt. Aviat. Space Environ. Med. 1990, 61, 810–813. 42. Ansari R, Manuel FK, Geiser M, Moret F, Messer RK, King JF, Suh KI. Measurement of Choroidal Blood Flow in Zero Gravity. In Proceedings of the Opthalmic Technologies XII, San Jose, CA, USA, 25 January 2002. 43. Shinojima A, Iwasaki K, Aoki K, Ogawa Y, Yanagida R, Yuzawa M.
This is what happens in those with glaucoma. But in patients with papilledema the opposite occurs, and the increased ICP forces the lamina cribosa towards the intraocular space, which in turn causes swelling of the optic disc. Remember, we mentioned earlier that there may be significant microstructural intra-individual variations, and these can determine to what degree a person may be affected by these various ocular syndromes. For example, elasticity tends to decrease with age, so older individuals may be more susceptible to visual impairment.
0 N/A Few mins 75 113 10 15 N/A N/A 128 17 N/A > 10–15 % 1 min to several mins 17–30 % Within 1 min Headache, dyspnea, tremors Unconsciousness, near-unconsciousness Headache, increased heart rate, shortness of breath, dizziness, sweating, rapid breathing Dizziness, drowsiness, severe muscle twitching, unconsciousness Loss of controlled and purposeful activity, unconsciousness, convulsions, coma, death the station. This sometimes means that crewmembers are exposed to even higher concentrations of carbon dioxide that may trigger increased ICP and resulting visual deficits.