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Small Animal Ophthalmic Atlas and Guide, 2nd Edition
»óÇ°¸í : Small Animal Ophthalmic Atlas and Guide, 2nd Edition
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Small Animal Ophthalmic Atlas and Guide, 2nd Edition



Christine C. Lim

ISBN: 9781119804253 

August 2022 

Wiley-Blackwell 

256 Pages



DESCRIPTION


Small Animal Ophthalmic Atlas and Guide is designed to offer a quick reference to common ocular conditions in dogs and cats, presenting high-quality color photographs to facilitate diagnosis and offering details on each condition to support clinicians in clinical decision making. In addition to updates throughout, the Second Edition includes significantly more images than the previous edition, with updates to images to include more representative examples where possible.


In Small Animal Ophthalmic Atlas and Guide, the image section is organized by area of the eye, making it easy to find and compare images to make a diagnosis, and the disease section is carefully targeted to the most crucial details for developing a management plan. A companion website provides video clips. 


Written by a veterinary ophthalmologist working at a busy urban center, Small Animal Ophthalmic Atlas and Guide includes information on:


Orbital disease, including inflammatory and neoplastic disease

Eyelid and adnexal disease, such as abnormal hairs (distichiae, ectopic ciliae, and trichiasis), conformational abnormalities (entropion, ectropion, etc.), and third eyelid abnormalities such as gland prolapse

Corneal and conjunctival disease, including tear film disorders, causes of keratoconjunctivitis, corneal ulceration, and feline surface ocular disease

Anterior uveal conditions, covering uveal cysts, anterior uveitis, and anterior uveal neoplasia

Lenticular disease, such as cataract and lens instability

The posterior segment, covering normal fundic appearance, chorioretinitis, retinal degeneration, and retinal detachment

Recognition and management of glaucoma


With its broad coverage of essential topics and accessible images that help with accurate and fast diagnoses, Small Animal Ophthalmic Atlas and Guide is an essential reference for small animal general practitioners, students, residents, and interns, and can also be used as a reference to show examples to clients.



TABLE OF CONTENTS


Preface


List of abbreviations


Glossary


Section I Atlas


1 Orbit


Figure 1.1 Clinical signs associated with orbital mass effect (neoplasia)


Figure 1.2 a Clinical signs associated with orbital mass effect (cellulitis)


Figure 1.2 b Clinical signs associated with orbital mass effect (cellulitis)


Figure 1.3 Clinical signs associated with orbital mass effect (cellulitis)


Figure 1.4 Clinical signs associated with orbital mass effect (neoplasia)


Figure 1.5 Clinical signs associated with orbital mass effect (neoplasia)


Figure 1.6 Enophthalmos


Figure 1.7 Brachycephalic ocular syndrome


Figure 1.8 Brachycephalic ocular syndrome


Figure 1.9 Ventromedial entropion associated with brachycephalic ocular syndrome


Figure 1.10 Ventromedial entropion associated with brachycephalic ocular syndrome


Figure 1.11 Clinical signs associated with Horner¡¯s syndrome


Figure 1.12 a Clinical signs associated with Horner¡¯s syndrome


Figure 1.12 b Appearance of Horner¡¯s syndrome following application of a sympathomimetic drug


Figure 1.13 Clinical signs associated with Horner¡¯s syndrome


Figure 1.13 b Appearance of Horner¡¯s syndrome following application of a sympathomimetic drug


Figure 1.14 Clinical signs associated with proptosis


Figure 1.15 Proptosis


2 Eyelids


Figure 2.1 Normal appearance of punctum


Figure 2.2 Normal appearance of punctum


Figure 2.3 Ectopic cilia


Figure 2.4 Ectopic cilia


Figure 2.5 Distichiae


Figure 2.6 Distichiae


Figure 2.7 Distichiae


Figure 2.8 Distichiae


Figure 2.9 Distichiae


Figure 2.10 Ectopic cilia and chalazion


Figure 2.11 Facial trichiasis


Figure 2.12 Lower eyelid entropion


Figure 2.13 Lower eyelid entropion


Figure 2.14 Upper eyelid entropion


Figure 2.15 Lower eyelid entropion


Figure 2.16 Lower eyelid entropion


Figure 2.17 Appearance of entropion after temporary correction using tacking sutures


Figure 2.18 Lower eyelid ectropion


Figure 2.19 Lower eyelid ectropion


Figure 2.20 Eyelid agenesis


Figure 2.21 a Eyelid agenesis


Figure 2.21 b Eyelid agenesis


Figure 2.22 Eyelid agenesis


Figure 2.23 Eyelid mass


Figure 2.24 Eyelid mass (Meibomian adenoma)


Figure 2.25 Eyelid mass (Meibomian adenoma)


Figure 2.26 Eyelid mass suspected to be Meibomian adenoma


Figure 2.27 Eyelid mass suspected to be melanoma


Figure 2.28 Eyelid mass (Meibomian adenoma)


Figure 2.29 Eyelid mass (plasmacytoma)


Figure 2.30 Eyelid melanocytoma


Figure 2.31 Chalazion


Figure 2.32 Chalazion


Figure 2.33 Chalazion


Figure 2.34 Blepharitis


Figure 2.35 Blepharitis


Figure 2.36 Blepharitis


Figure 2.37 Blepharitis


Figure 2.38 Blepharitis


Figure 2.39 Blepharitis


Figure 2.40 Blepharitis


Figure 2.41 Eyelid laceration


Figure 2.42 Eyelid laceration


3 Third eyelid, nasolacrimal system, and precorneal tear film


Figure 3.1 Normal third eyelid


Figure 3.2 Jones test (mouth)


Figure 3.3 Jones test (nares)


Figure 3.4 Scrolled third eyelid cartilage


Figure 3.5 Scrolled third eyelid cartilage


Figure 3.6 Scrolled third eyelid cartilage


Figure 3.7 Prolapsed third eyelid gland (¡°cherry eye¡±)


Figure 3.8 Prolapsed third eyelid gland (¡°cherry eye¡±)


Figure 3.9 Prolapsed third eyelid gland (¡°cherry eye¡±)


Figure 3.10 Prolapsed third eyelid gland (¡°cherry eye¡±)


Figure 3.11 Prolapsed third eyelid gland (¡°cherry eye¡±)


Figure 3.12 Prolapsed third eyelid gland (¡°cherry eye¡±)


Figure 3.13 Superficial neoplasia of the third eyelid


Figure 3.14 Superficial neoplasia of the third eyelid


Figure 3.15 Neoplasia of the third eyelid gland


Figure 3.16 Neoplasia of the third eyelid gland


Figure 3.17 Pathologic changes to the third eyelid associated with pannus


Figure 3.18 Pathologic changes to the third eyelid associated with pannus


Figure 3.19 Pathologic changes to the third eyelid associated with pannus


4 Conjunctiva


Figure 4.1 Normal appearance of the conjunctiva


Figure 4.2 Conjunctival hyperemia


Figure 4.3 Chemosis and conjunctival hyperemia


Figure 4.4 Chemosis and conjunctival hyperemia


Figure 4.5 Chemosis, conjunctival hyperemia, conjunctival follicles


Figure 4.6 Chemosis


Figure 4.7 Chemosis


Figure 4.8 Subconjunctival hemorrhage


Figure 4.9 Subconjunctival hemorrhage


Figure 4.10 Conjunctival follicles


Figure 4.11 Conjunctival follicles


Figure 4.12 Conjunctival follicles


Figure 4.13 Conjunctival follicles


Figure 4.14 Conjunctival thickening associated with infiltrative neoplasia


Figure 4.15 Superficial conjunctival neoplasia


Figure 4.16 Superficial conjunctival neoplasia


Figure 4.17 Superficial conjunctival neoplasia (squamous papilloma)


Figure 4.18 Superficial conjunctival neoplasia


Figure 4.19 Superficial conjunctival neoplasia (squamous papilloma)


Figure 4.20 Conjunctival neoplasia (mast cell tumor)


5 Cornea


Figure 5.1 Superficial corneal vascularization associated with KCS


Figure 5.2 Appearance of a dry cornea due to KCS and concurrent anterior uveitis


Figure 5.3 Appearance of a dry cornea associated with KCS


Figure 5.4 Typical appearance of superficial corneal vessels


Figure 5.5 Typical appearance of superficial corneal vessels


Figure 5.6 Typical appearance of superficial corneal vessels


Figure 5.7 Typical appearance of superficial corneal vessels


Figure 5.8 Superficial corneal vascularization and corneal fibrosis


Figure 5.9 Typical appearance of deep corneal vessels


Figure 5.10 Typical appearance of corneal edema


Figure 5.11 Typical appearance of corneal edema


Figure 5.12 Typical appearance of corneal edema and corneal bullae


Figure 5.13 Corneal melanosis


Figure 5.14 Corneal melanosis associated with pigmentary keratitis


Figure 5.15 Corneal melanosis associated with pigmentary keratitis


Figure 5.16 Corneal melanosis associated with pigmentary keratitis


Figure 5.17 Typical appearance of corneal fibrosis with concurrent corneal vascularization


Figure 5.18 Corneal melanosis and corneal fibrosis


Figure 5.19 Corneal white cell infiltrate with concurrent corneal vascularization and edema


Figure 5.20 Corneal stromal white blood cell infiltrate


Figure 5.21 Stromal corneal ulcer


Figure 5.22 Corneal deposits associated with corneal dystrophy


Figure 5.23 Corneal deposits associated with corneal dystrophy


Figure 5.24 Corneal deposits associated with corneal dystrophy


Figure 5.25 Corneal deposits associated with corneal dystrophy


Figure 5.26 Corneal mineral deposits and keratitis


Figure 5.27 Corneal mineral deposits


Figure 5.28 Corneal mineral deposits and keratitis


Figure 5.29 Corneal mineral deposits and keratitis


Figure 5.30 Predominantly melanotic corneal changes associated with pannus


Figure 5.31 Predominantly melanotic corneal changes associated with pannus


Figure 5.32 Predominantly fibrovascular corneal changes associated with pannus


Figure 5.33 Corneal changes associated with pannus, mixture of melanosis and fibrovascular changes


Figure 5.34 Superficial corneal ulcer


Figure 5.35 Indolent corneal ulcer with fluorescein stain applied


Figure 5.36 a Indolent corneal ulcer prior to fluorescein stain


Figure 5.36 b Indolent corneal ulcer after fluorescein stain


Figure 5.37 Indolent corneal ulcer


Figure 5.38 Indolent corneal ulcer after fluorescein stain


Figure 5.39 Indolent corneal ulcer after fluorescein stain


Figure 5.40 Deep corneal ulcer


Figure 5.41 Deep corneal ulcer


Figure 5.42 Deep corneal ulcer


Figure 5.43 Deep corneal ulcer


Figure 5.44 Deep corneal ulcer


Figure 5.45 Deep corneal ulcer


Figure 5.46 Descemetocele after application of fluorescein stain


Figure 5.47 a Descemetocele prior to application of fluorescein stain


Figure 5.47 b Descemetocele after application of fluorescein stain


Figure 5.48 Descemetocele


Figure 5.49 Corneal perforation with iris prolapse


Figure 5.50 Corneal perforation with iris prolapse


Figure 5.51 Corneal perforation with iris prolapse


Figure 5.52 Corneal perforation with iris prolapse


Figure 5.53 Corneal perforation with iris prolapse


Figure 5.54 Corneal perforation with iris prolapse


Figure 5.55 Corneal perforation with iris prolapse


Figure 5.56 Melting corneal ulcer


Figure 5.57 Perforated melting corneal ulcer


Figure 5.58 Melting ulcer with stromal loss and hypopyon


Figure 5.59 Perforated melting corneal ulcer


Figure 5.60 Dendritic corneal ulcers


Figure 5.61 Dendritic corneal ulcers


Figure 5.62 Symblepharon


Figure 5.63 Symblepharon


Figure 5.64 Symblepharon


Figure 5.65 Eosinophilic keratoconjunctivitis


Figure 5.66 Eosinophilic keratoconjunctivitis


Figure 5.67 Eosinophilic keratoconjunctivitis


Figure 5.68 Eosinophilic keratoconjunctivitis


Figure 5.69 Corneal sequestrum


Figure 5.70 Corneal sequestrum


Figure 5.71 Corneal sequestrum


Figure 5.72 Corneal sequestrum


Figure 5.73 Corneal sequestrum


Figure 5.74 Corneal sequestrum


6 Anterior uvea


Figure 6.1 Normal blue iris (feline)


Figure 6.2 Normal brown iris (canine)


Figure 6.3 Iris-to-cornea persistent pupillary membranes


Figure 6.4 Iris-to-cornea persistent pupillary membranes


Figure 6.5 Iris-to-iris persistent pupillary membranes


Figure 6.6 Iris-to-iris persistent pupillary membranes


Figure 6.7 Iris-to-lens persistent pupillary membranes


Figure 6.8 Anterior chamber uveal cysts


Figure 6.9 Anterior chamber uveal cyst


Figure 6.10 Anterior chamber uveal cyst


Figure 6.11 Uveal cyst adhered to pupillary margin


Figure 6.12 Uveal cyst adhered to pupillary margin


Figure 6.13 Transillumination of posterior chamber uveal cysts


Figure 6.14 Iris atrophy


Figure 6.15 Iris atrophy


Figure 6.16 Iris atrophy


Figure 6.17 Iris atrophy


Figure 6.18 Iris atrophy


Figure 6.19 Focal iris hyperpigmentation


Figure 6.20 Focal iris hyperpigmentation confirmed as melanoma


Figure 6.21 Feline diffuse iris melanoma


Figure 6.22 Suspected feline diffuse iris melanoma


Figure 6.23 Suspected feline diffuse iris melanoma


Figure 6.24 Feline diffuse iris melanoma


Figure 6.25 Feline diffuse iris melanoma


Figure 6.26 Canine melanocytoma


Figure 6.27 Canine melanocytoma


Figure 6.28 Melanocytic iris mass


Figure 6.29 Melanocytic iris mass


Figure 6.30 Canine ciliary body adenoma


Figure 6.31 Canine ciliary body adenoma


Figure 6.32 Classic clinical signs of uveitis


Figure 6.33 Uveitis with lipid aqueous


Figure 6.34 Clinical signs of uveitis: inflammatory debris in aqueous, hypopyon


Figure 6.35 Normal appearance of reflections during ophthalmic examination


Figure 6.36 Aqueous flare


Figure 6.37 Keratic precipitates


Figure 6.38 Hypopyon with concurrent corneal ulceration


Figure 6.39 Keratic precipitates


Figure 6.40 Hyphema


Figure 6.41 Hyphema


Figure 6.42 Hyphema and iris bombé


Figure 6.43 Hyphema


Figure 6.44 Rubeosis iridis


Figure 6.45 Iris thickening and focal rubeosis iridis


Figure 6.46 Rubeosis iridis


Figure 6.47 Rubeosis iridis and keratic precipitates


Figure 6.48 Rubeosis iridis, anterior chamber fibrin, and keratic precipitates


Figure 6.49 Iris hemorrhage


Figure 6.50 Anterior synechia


Figure 6.51 Posterior synechia


Figure 6.52 Posterior synechia


Figure 6.53 Posterior synechia, preiridal fibrovascular membrane, and complete cataract


Figure 6.54 Iris bombé


7 Lens


Figure 7.1 Nuclear sclerosis


Figure 7.2 Nuclear sclerosis


Figure 7.3 Nuclear sclerosis


Figure 7.4 Nuclear sclerosis


Figure 7.5 Incipient cataract


Figure 7.6 Incipient cataract


Figure 7.7 a Incipient cataract


Figure 7.7 b Incipient cataract


Figure 7.8 Incomplete cataract


Figure 7.9 Incomplete cataract


Figure 7.10 Incomplete cataract


Figure 7.11 Incomplete cataract


Figure 7.12 Incomplete cataract


Figure 7.13 a Incomplete cataract


Figure 7.13 b Incomplete cataract


Figure 7.14 a Incomplete cataract


Figure 7.14 b Incomplete cataract


Figure 7.15 Complete cataract


Figure 7.16 Complete cataract


Figure 7.17 Complete cataract


Figure 7.18 Complete, resorbing cataract


Figure 7.19 Incomplete, resorbing cataract


Figure 7.20 Incomplete, resorbing cataract


Figure 7.21 Complete, resorbing cataract


Figure 7.22 Complete, resorbing cataract


Figure 7.23 Complete, resorbing cataract


Figure 7.24 Complete, resorbing cataract


Figure 7.25 Lens subluxation


Figure 7.26 Lens subluxation


Figure 7.27 Anterior lens luxation and complete cataract


Figure 7.28 Anterior lens luxation and microphakia


Figure 7.29 Anterior lens luxation


Figure 7.30 Anterior lens luxation


Figure 7.31 Posterior lens luxation and complete cataract


Figure 7.32 Posterior lens luxation and complete cataract


Figure 7.33 Posterior lens luxation and complete, resorbing cataract


Figure 7.34 Posterior lens luxation and complete cataract


8 Posterior segment


Figure 8.1 Normal canine fundus


Figure 8.2 Normal canine fundus


Figure 8.3 Normal canine fundus


Figure 8.4 Normal canine fundus


Figure 8.5 Normal feline fundus


Figure 8.6 Normal feline fundus


Figure 8.7 Normal feline fundus


Figure 8.8 Subalbinotic, atapetal canine fundus


Figure 8.9 Subalbinotic feline fundus


Figure 8.10 Tapetal hyperreflectivity and retinal vascular attenuation in a cat


Figure 8.11 Tapetal hyperreflectivity and retinal vascular attenuation in a cat


Figure 8.12 Tapetal hyperreflectivity and retinal vascular attenuation in a cat


Figure 8.13 Tapetal hyperreflectivity and retinal vascular attenuation in a dog


Figure 8.14 Tapetal hyperreflectivity and retinal vascular attenuation in a dog


Figure 8.15 Tapetal hyperreflectivity and retinal vascular attenuation in a dog


Figure 8.16 Focal retinal degeneration/chorioretinal scar


Figure 8.17 Focal retinal degeneration/chorioretinal scar


Figure 8.18 Focal retinal degeneration/chorioretinal scar


Figure 8.19 Tapetal hyporeflectivity due to hypertensive chorioretinopathy


Figure 8.20 Tapetal hyporeflectivity due to hypertensive chorioretinopathy


Figure 8.21 Tapetal hyporeflectivity and peripapillary hemorrhage


Figure 8.22 Peripapillary tapetal hyporeflectivity


Figure 8.23 Tapetal hyporeflectivity (retinal dysplasia)


Figure 8.24 Tapetal hyporeflectivity (choroidal melanoma)


Figure 8.25 Tapetal hyporeflectivity (chorioretinitis secondary to blastomycosis)


Figure 8.26 Tapetal hyporeflectivity (chorioretinitis secondary to blastomycosis)


Figure 8.27 Fluid and white cell infiltrate in the nontapetal fundus (chorioretinitis)


Figure 8.28 Focal white cell infiltrate (chorioretinitis) and retinal degeneration in the nontapetal fundus


Figure 8.29 Multifocal retinal degeneration in the nontapetal fundus


Figure 8.30 Pinpoint retinal hemorrhage


Figure 8.31 Hemorrhage in the nontapetal fundus


Figure 8.32 Hemorrhage in the tapetal fundus


Figure 8.33 Retinal and vitreous hemorrhage


Figure 8.34 Retinal hemorrhage and detachment


Figure 8.35 Serous retinal detachment and retinal hemorrhage due to hypertensive chorioretinopathy


Figure 8.36 Retinal and vitreous hemorrhage due to hypertensive chorioretinopathy


Figure 8.37 External view of serous retinal detachment


Figure 8.38 External view of retinal detachment


Figure 8.39 External view of serous retinal detachment


Figure 8.40 a External view of serous retinal detachment


Figure 8.40 b Serous retinal detachment


Figure 8.41 Serous retinal detachment


Figure 8.42 Rhegmatogenous retinal detachment


Figure 8.43 Rhegmatogenous retinal detachment


Figure 8.44 Optic nerve atrophy/degeneration


Figure 8.45 Optic nerve atrophy/degeneration


Figure 8.46 Optic disc cupping in a subalbinotic, atapetal fundus


Figure 8.47 Optic disc cupping


Figure 8.48 Optic neuritis


Figure 8.49 Optic neuritis


Figure 8.50 Asteroid hyalosis


Figure 8.51 Asteroid hyalosis


Figure 8.52 Choroidal hypoplasia (collie eye anomaly)


Figure 8.53 Posterior polar coloboma and choroidal hypoplasia (collie eye anomaly)


9 Glaucoma


Figure 9.1 Typical appearance of acute glaucoma


Figure 9.2 Typical appearance of acute glaucoma


Figure 9.3 Buphthalmos


Figure 9.4 Buphthalmos


Figure 9.5 Haab¡¯s stria


Figure 9.6 Haab¡¯s striae, posterior lens luxation


Figure 9.7 Haab¡¯s striae, corneal edema


Figure 9.8 Haab¡¯s stria, posterior lens luxation


Figure 9.9 Posterior lens luxation


Figure 9.10 Anterior lens luxation


Figure 9.11 Optic disc cupping


Section II Guide


10 Orbit


Diseases of the orbit


Brachycephalic ocular syndrome


Horner¡¯s syndrome


Orbital cellulitis and abscess


Orbital neoplasia


Proptosis


Further reading


References


11 Eyelids


Diseases of the eyelid


Distichiasis


Ectopic cilia


Trichiasis


Eyelid agenesis


Entropion


Ectropion


Eyelid neoplasia


Chalazion


Blepharitis


Eyelid laceration


Further reading


References


12 The third eyelid, nasolacrimal system, and precorneal tear film


Diseases of the third eyelid and lacrimal system


Third eyelid gland prolapse (¡°cherry eye¡±)


Third eyelid neoplasia


Nasolacrimal duct obstruction


Tear film disorders—KCS


Qualitative tear film abnormality


References


13 Conjunctiva


Diseases of conjunctiva


Canine conjunctivitis


Feline conjunctivitis


Conjunctival neoplasia


Further reading


References


14 Cornea


Corneal diseases


Corneal dystrophy


Corneal endothelial dysfunction


Canine keratitis


Keratoconjunctivitis sicca (KCS)


Pigmentary keratitis


Pannus/chronic superficial keratitis


Corneal ulceration


Simple corneal ulceration


Indolent corneal ulceration


Deep and perforating corneal ulceration


Melting corneal ulceration


Feline keratitis, nonulcerative and ulcerative


Feline eosinophilic keratoconjunctivitis (EK)


Corneal sequestrum


Further reading


References


15 Anterior uvea


Anterior uveal diseases


Persistent pupillary membranes (PPMs)


Uveal cysts


Iris atrophy


Feline diffuse iris melanoma


Canine anterior uveal melanocytic neoplasia


Iridociliary neoplasia


Anterior uveitis


Further reading


References


16 Lens


Diseases of the lens


Nuclear sclerosis


Cataract


Lens subluxation and luxation


Further reading


References


17 Posterior segment


Diseases of the posterior segment


Asteroid hyalosis


Collie eye anomaly


Progressive retinal atrophy (PRA)


Sudden acquired retinal degeneration syndrome (SARDS)


Retinal degeneration (excluding PRA and SARDS)


Chorioretinitis


Retinal detachment


Hypertensive chorioretinopathy


Optic neuritis


Further reading


References


18 Glaucoma


Glaucoma


Further reading


References


Index



ABOUT THE AUTHOR


Christine Lim, DVM, Diplomate ACVO, is a veterinary ophthalmologist at Eye Care for Animals in Chicago, Illinois. Before entering private practice, she was on faculty at the University of Minnesota College of Veterinary Medicine. She is a graduate of the Ontario Veterinary College. She completed an internship in small animal medicine and surgery at the Atlantic Veterinary College and a residency in comparative ophthalmology at the University of California – Davis. Dr. Lim has several publications in peer-reviewed journals and has authored several textbook chapters.

 
 
 
 
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