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Posterior Capsular Rent
Par Arup Chakrabarti. 2016
This book deals with a potentially sight threatening complication - rupture of the posterior capsule - during cataract surgery. This handbook covers…
the management of this problem from 3 perspectives: 1. Identifying patients at higher risk and measures to manage such patients by surgical discipline 2. Intraoperative management of posterior capsular rupture (PCR) to minimize long-term complications 3. Post-operative care for a patient who has a PCR Cataract surgery is the most commonly performed surgical procedure in ophthalmology and despite tremendous technical and technological advancements, PCR still occurs. PCR occurs both in the hands of experienced senior surgeons and the neophyte surgeons, although with a higher frequency in the latter group. Additionally, certain types of cataracts are prone to this development. If managed properly in a timely manner the eventual outcome may be no different from that of an uncomplicated case. However, improper management may lead on to serious complications with a higher incidence of permanent visual disability. Written for experienced and not-so-experienced eye surgeons alike to understand and manage PCR.Drug Product Development for the Back of the Eye
Par Henry F. Edelhauser, Uday B. Kompella. 2009
This comprehensive volume discusses approaches for a systematic selection of delivery systems for various classes of therapeutic agents including small…
molecule, protein, and nucleic acid drugs. Specific topics covered in this book include: Solution, suspension, gel, nanoparticle, microparticle, and implant dosage formsRefillable and microneedle devicesIntravitreal, suprachoroidal, intrascleral, transscleral, systemic, and topical routes of deliveryPhysical methods including iontophoresis for drug deliveryRational selection of routes of administration and delivery systemsNoninvasive and continuous drug monitoring Regulatory path to drug product developmentClinical endpoints for drug product developmentEmerging and existing drugs and drug targets Drug Product Development for the Back of the Eye is authored by renowned ocular drug delivery experts, representing academic, clinical, and industrial organizations and serves as indispensable resource for ophthalmic researchers, drug formulation scientists, drug delivery and drug disposition scientists, as well as clinicians involved in designing and developing novel therapeutics for the back of the eye diseases. This book is also relevant for students in various disciplines including ophthalmology, pharmaceutical sciences, drug delivery, and biomedical engineering. Refillable and microneedle devicesIntravitreal, suprachoroidal, intrascleral, transscleral, systemic, and topical routes of deliveryPhysical methods including iontophoresis for drug deliveryRational selection of routes of administration and delivery systemsNoninvasive and continuous drug monitoring Regulatory path to drug product developmentClinical endpoints for drug product developmentEmerging and existing drugs and drug targets Drug Product Development for the Back of the Eye is authored by renowned ocular drug delivery experts, representing academic, clinical, and industrial organizations and serves as indispensable resource for ophthalmic researchers, drug formulation scientists, drug delivery and drug disposition scientists, as well as clinicians involved in designing and developing novel therapeutics for the back of the eye diseases. This book is also relevant for students in various disciplines including ophthalmology, pharmaceutical sciences, drug delivery, and biomedical engineering. Refillable and microneedle devicesIntravitreal, suprachoroidal, intrascleral, transscleral, systemic, and topical routes of deliveryPhysical methods including iontophoresis for drug deliveryRational selection of routes of administration and delivery systemsNoninvasive and continuous drug monitoring Regulatory path to drug product developmentClinical endpoints for drug product developmentEmerging and existing drugs and drug targets Drug Product Development for the Back of the Eye is authored by renowned ocular drug delivery experts, representing academic, clinical, and industrial organizations and serves as indispensable resource for ophthalmic researchers, drug formulation scientists, drug delivery and drug disposition scientists, as well as clinicians involved in designing and developing novel therapeutics for the back of the eye diseases. This book is also relevant for students in various disciplines including ophthalmology, pharmaceutical sciences, drug delivery, and biomedical engineering.Spectral Domain Optical Coherence Tomography in Macular Diseases
Par Carsten H. Meyer, Sandeep Saxena, Srinivas R Sadda. 2016
This book aims to build concepts and create a solid foundation in the field of optical coherence tomography (OCT) for…
the general ophthalmologists as well as for the resident trainees and fellows. The chapters are written by leading international authorities in a style comprehensible to a broad audience. Numerous clinical pictures and SD-OCT scans help elucidate various clinical entities. OCT is the optical analog of ultrasound imaging and has emerged as a powerful imaging technique that enables non-invasive, in-vivo, high-resolution, cross-sectional imaging in retinal tissue. A new generation spectral domain optical coherence tomography (SD-OCT) technology has now been developed, representing a quantum leap in resolution and speed, achieving in vivo optical biopsy. i. e. the visualization of tissue architectural morphology in situ and in real time. This book encompasses the role of SD-OCT in both medical and surgical macular disorders. The book is meant coherent and comprehensive for both vitreoretinal specialists as well as general ophthalmologists.Keratoconus
Par Jorge L. Alió. 2017
As a degenerative disorder of the eye, keratoconus can cause substantial distortion of vision, with multiple images, streaking, and sensitivity…
to light all reported by patients. Keratoconus: Recent Advances in Diagnosis and Treatment updates ophthalmologists about the innovations that have occurred within the last decade, discussing the diagnostic imaging techniques that have been developed for keratoconus diagnosis, understanding of how examination techniques are related to the evolution of keratoconus, and how to indicate the different therapeutic tools that have been created for keratoconus over the last several years. Additionally, fundamentals for new diagnostic elements, based on the mathematical, physical and biomechanical data are analyzed in depth for a better understanding of the essential diagnostic steps for the clinician to guide patients towards the most adequate therapeutic tool in the case. Modern keratoplasty techniques, assisted by femtosecond lasers or other devices, are also covered and these techniques, along with the emerging conservative treatments, have added to more precise control of the evolution of the disease.Underactive Bladder
Par Alan J. Wein, Christopher R. Chapple, Nadir I. Osman. 2017
The field of underactive bladder is a poorly recognised yet important clinical condition, affecting up to a third of patients…
over 65. In this book, the authors look at the field of underactive bladder and its presentation, clinical diagnosis, potential etiopathogenesis and treatment. While the editors address a great deal of background information, they clearly identify that many limitations still exist to clinical diagnosis and urodynamic evaluation, and in particular a dearth of appropriate treatment options. This complex condition needs to be recognized and identified in the routine evaluation and clinical management of patients.Emergencies of the Orbit and Adnexa
Par Bipasha Mukherjee, Hunter Yuen. 2017
This handbook on orbital, lacrimal and eyelid emergencies deals with such situations in a practical manner guiding the ophthalmologists in…
accurate handling and making them more proficient and confident in managing vision and life-threatening emergencies. With 51 chapters and more than 150 images, this book covers all the eye emergencies that generalist and specialist ophthalmologists can expect to come across in their day to day practices. It can be argued that the orbit can no more be called 'Pandora's Box' because of the unpredictable nature of its contents. This perception has changed over the years due to the advent of improved diagnostic, in particular, imaging techniques. However, since medical residency provides very little exposure to orbital and adnexal disorders, most clinicians are inexperienced and unsure about their management. Facing an emergency situation where improper management can rapidly worsen the condition leading to blindness or even death of the patient is every ophthalmologist's nightmare. The emergent nature of these conditions does not always provide for a leeway to refer these patients to an orbit and oculoplasty specialist, who are few and far between. By the time the patient reaches his destination, his vision maybe irrevocably lost. The legal implications of such mismanagement can be significant too. This book is a quick and essential resource to manage and refer eye emergencies with confidence.First Love Again
Par Kristina Knight. 2015
Some loves deserve a second chance... Coming back to Gulliver Island after a ten-year absence to take care of his…
father should have been simple. Emmett Deal would fix and sell the family home, and return to Cincinnati with his ailing father in tow. Yet something compels him to stay a little longer. The beautiful, bright eyes of Jaime Brown. Ten years ago, traumatic events changed the course of Jaime's life forever, catching her in a small-town life she can't escape. Emmett's return stirs up the memories she wanted to ignore...and dreams she had forgotten. Now she finds herself with a rare opportunity-a second chance. Only this time, it's not just for love...Digital Teleretinal Screening
Par Jorge Cuadros. 2011
Digital retinal imaging performed by primary care providers and nurses, followed by remote image interpretation (teleretinal imaging), is rapidly acquiring…
a crucial role in many parts of the world as it permits the detection of major diseases, such as diabetic retinopathy and glaucoma, in patients who would otherwise be beyond the reach of a trained ophthalmologist. In this book, experts from around the world describe how digital teleretinal screening can be set up and optimally utilized. Technical issues are discussed, and the appropriate use of screening for different diseases and in different age groups is explained. The major part of the book draws upon the clinical experience of leading practitioners in a wide range of teleretinal applications. The result is a comprehensive source of high-quality information for clinicians and other health professionals who are involved in eye care delivery, so that they can assess how teleretinal screening might be applied to their working practice.Racial and Ethnic Differences in the Health of Older Americans
Par Committee on Population. 1997
Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even…
a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups.The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.Assessing Knowledge of Retirement Behavior
Par Panel on Retirement Income Modeling. 1996
This book brings together in one volume what researchers have learned about workers, employers, and retirees that is important for…
formulating retirement income policies. As the U.S. population ages, there is increasing uncertainty about the solvency of the Social Security and Medicare systems and the adequacy of private pensions to provide for people's retirement needs. The volume covers such critical behaviors as workers' decisions to retire, people's choices of saving over consumption, and employers' decisions about hiring older workers and providing pension and health care benefits. Also covered are trends in mortality, health status, and health care costs that are key to projecting the likely costs and effects of alternative retirement income security policies and a strategy for combining data and research knowledge into a policy modeling framework.International Differences in Mortality at Older Ages: Dimensions and Sources
Par National Research Council of the National Academies. 2010
In 1950 men and women in the United States had a combined life expectancy of 68.9 years, the 12th highest…
life expectancy at birth in the world. Today, life expectancy is up to 79.2 years, yet the country is now 28th on the list, behind the United Kingdom, Korea, Canada, and France, among others. The United States does have higher rates of infant mortality and violent deaths than in other developed countries, but these factors do not fully account for the country's relatively poor ranking in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources examines patterns in international differences in life expectancy above age 50 and assesses the evidence and arguments that have been advanced to explain the poor position of the United States relative to other countries. The papers in this deeply researched volume identify gaps in measurement, data, theory, and research design and pinpoint areas for future high-priority research in this area. In addition to examining the differences in mortality around the world, the papers in International Differences in Mortality at Older Ages look at health factors and life-style choices commonly believed to contribute to the observed international differences in life expectancy. They also identify strategic opportunities for health-related interventions. This book offers a wide variety of disciplinary and scholarly perspectives to the study of mortality, and it offers in-depth analyses that can serve health professionals, policy makers, statisticians, and researchers.Critical Perspectives On Racial And Ethnic Differences In Health In Late Life
Par National Research Council of the National Academies. 2004
In their later years, Americans of different racial and ethnic backgrounds are not in equally good--or equally poor--health. There is…
wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.Health And Saffty Needs Of Older Workers
Par National Research Council of the National Academies. 2004
Mirroring a worldwide phenomenon in industrialized nations, the U.S. is experiencing a change in its demographic structure known as population…
aging. Concern about the aging population tends to focus on the adequacy of Medicare and Social Security, retirement of older Americans, and the need to identify policies, programs, and strategies that address the health and safety needs of older workers. Older workers differ from their younger counterparts in a variety of physical, psychological, and social factors. Evaluating the extent, causes, and effects of these factors and improving the research and data systems necessary to address the health and safety needs of older workers may significantly impact both their ability to remain in the workforce and their well being in retirement. Health and Safety Needs of Older Workers provides an image of what is currently known about the health and safety needs of older workers and the research needed to encourage social polices that guarantee older workers a meaningful share of the nation’s work opportunities.Macular Dystrophies
Par Giuseppe Querques, Eric H. Souied. 2016
This book provides the ophthalmologist with the most recently available data on the macular dystrophies, a group of many different…
inherited or sporadic eye conditions linked by a problem with photoreceptors or other structures of the central retina. Internationally recognized experts in the field present the latest evidence and discuss their own personal experiences with regard to each of the principal dystrophies as well as some very rare entities. Topics covered include molecular biology, state-of-the-art diagnostic techniques, and the newest treatment options, including still experimental therapies. Attention is also devoted to a range of issues that continue to be debated. The editors have taken care to ensure that chapters are of a uniformly high standard while not sacrificing the originality of the individual authors. Macular Dystrophies will fully acquaint the reader with both the latest research findings and the current and emerging approaches to diagnosis and treatment.ELDER MISTREATMENT: Abuse, Neglect, and Exploitation in an Aging America
Par Panel to Review Risk, Prevalence of Elder Abuse, Neglect. 2003
Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers…
and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusers—and sometimes the abused themselves—want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report’s reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.Opportunities in Neuroscience for Future Army Applications
Par National Research Council of the National Academies. 2009
Advances and major investments in the field of neuroscience can enhance traditional behavioral science approaches to training, learning, and other…
applications of value to the Army. Neural-behavioral indicators offer new ways to evaluate how well an individual trainee has assimilated mission critical knowledge and skills, and can also be used to provide feedback on the readiness of soldiers for combat. Current methods for matching individual capabilities with the requirements for performing high-value Army assignments do not include neuropsychological, psychophysiological, neurochemical or neurogenetic components; simple neuropsychological testing could greatly improve training success rates for these assignments. Opportunities in Neuroscience for Future Army Applications makes 17 recommendations that focus on utilizing current scientific research and development initiatives to improve performance and efficiency, collaborating with pharmaceutical companies to employ neuropharmaceuticals for general sustainment or enhancement of soldier performance, and improving cognitive and behavioral performance using interdisciplinary approaches and technological investments. An essential guide for the Army, this book will also be of interest to other branches of military, national security and intelligence agencies, academic and commercial researchers, pharmaceutical companies, and others interested in applying the rapid advances in neuroscience to the performance of individual and group tasks.Mechanical Ocular Trauma
Par Hua Yan. 2017
This book provides state-of-the-art information for ophthalmologists and other clinicians facing tough cases, helping them to make the most appropriate…
decision concerning the management of patients who have suffered mechanical ocular trauma. The discussion of mechanical ocular trauma addresses various parts of the eye: each chapter discusses a certain part of the eye, supplemented by illustrative sample cases. Though the latest consensus is provided for each topic or case, different opinions on controversial topics will also be discussed in detail. Pearls of advice at the end of each chapter highlight its main points. Topics covered include: Traumatic cataract and the timing of surgery and IOL implantation, Traumatic hypotony, Traumatic glaucoma, Timing of vitrectomy after primary repair, Use of silicone oil in traumatic eyes, Intraocular Foreign Bodies, Traumatic endophthalmitis, and much more. As a topic-based clinical reference work on mechanical ocular trauma bringing together consensus and controversies, the book offers useful and attractive information for ophthalmologists.Eye Pathology
Par Steffen Heegaard, Hans Grossniklaus. 2015
This book is a comprehensive, in-depth, and up-to-date resource on eye pathology that will be of great practical value for…
ophthalmic and general pathologists and ophthalmologists. Congenital abnormalities, inflammatory conditions, infections, injuries, degenerative diseases, and tumors are all covered with the aid of more than 700 images. In the case of tumors, the wide variety of neoplasms that occur in the eyelid, conjunctiva, retina, uveal tract, lacrimal gland and sac, orbit, and optic nerve are comprehensively reviewed, and the most recent knowledge on the relation between genetics and prognosis is presented. Entries on specific diseases are organized in a standard way, with information on etiology, epidemiology, clinical presentation, pathological characteristics, differential diagnosis, therapy, and prognosis. The authors are all recognized experts and members of the European and American ophthalmic pathology societies.Management of Complicated Vitreoretinal Diseases
Par Fabio Patelli, Stanislao Rizzo. 2015
This book provides the vitreoretinal surgeon with advice and guidance on how to treat and manage the unpredictable complexities and…
potential intra- and postoperative complications that are encountered during the course of vitreoretinal surgery. Internationally renowned surgeons share their extensive surgical experience in a clearly written and well-illustrated format, delivering helpful practical answers to the important problems frequently confronted in this ever-challenging area of ophthalmic surgery. Management of Complicated Vitreoretinal Diseases will appeal to surgeons young and old, and will find its home not only in the library but also in the office and the operating room itself. The open and positive way in which the many scenarios and difficulties encountered in surgery are confronted will improve the expertise of the surgeon and, most importantly, the outcomes for patients.The Lacrimal System
Par Adam J. Cohen, Michael Mercandetti, Brian Brazzo. 2015
While there are books that review lacrimal surgery as a portion of oculoplastic practice, The Lacrimal System: Diagnosis, Management &…
Surgery, Second Edition, addresses the range of lacrimal disorders in one concise, practical volume. Building off of the success of the first edition, this text includes significantly updated information, as well as new chapters that are complete with high quality color images and illustrations. Lacrimal surgeries are among the most commonly performed ones in oculopastic surgery. The procedures range from unblocking tear ducts in small children with congenital dysmorphology, to correcting dry eye through surgery. As with many of these procedures, the disorders sound minor but the patients' lives are seriously affected. By broadening the scope of the subject, the editors of The Lacrimal System, Second Edition meet the needs of oculoplastic surgeons, ophthalmologists, residents and fellows who are learning these special procedures.