Timothy L Jackson - Moorfields Manual of Ophthalmology

MOORFIELDS MANUAL OF

OPHTHALMOLOGY

THIRD EDITION

MOORFIELDS MANUAL OF

OPHTHALMOLOGY

THIRD EDITION

Timothy L Jackson PhD, FRCOphth
Professor of Retinal Research,
Kings College London and
Consultant Ophthalmic Surgeon,
Kings College Hospital
London, UK

2020 Jaypee Brothers Medical Publishers

Second edition 2014

Published by Jaypee Brothers Medical Publishers,
4838/24 Ansari Road, New Delhi, India

Tel: +91 (011) 43574357Fax: +91 (011)43574390

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JPM is the imprint of Jaypee Brothers Medical Publishers.

The rights of Timothy L Jackson to be identified as the editor of this work has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored or transmitted inany form or by any means, electronic, mechanical, photocopying, recording or otherwise,except as permitted by the UK Copyright, Designs and Patents Act 1988, without the priorpermission in writing of the publishers. Permissions may be sought directly from JaypeeBrothers Medical Publishers (P) Ltd. at the address printed above.

All brand names and product names used in this book are trade names, service marks,trademarks or registered trademarks of their respective owners. The publisher is notassociated with any product or vendor mentioned in this book.

Medical knowledge and practice change constantly. This book is designed to provideaccurate, authoritative information about the subject matter in question. However readersare advised to check the most current information available on procedures included andcheck information from the manufacturer of each product to be administered, to verify therecommended dose, formula, method and duration of administration, adverse effects andcontraindications. It is the responsibility of the practitioner to take all appropriate safetyprecautions. Neither the publisher nor the authors assume any liability for any injury and/ordamage to persons or property arising from or related to use of material in this book.

This book is sold on the understanding that the publisher is not engaged in providingprofessional medical services. If such advice or services are required, the services of acompetent medical professional should be sought.

ISBN: 978-1-909836-94-5

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library

Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Development Editor:Harsha Madan

Editorial Assistant:Keshav Kumar

Cover Design:Seema Dogra

Were the Moorfields Manual alive it would be celebrating its 11thbirthday. Eleven is an in-between age, when one starts to sense thepassing of childhood, aware that the approaching teenage years aresomehow different. Life will change.

There is now almost limitless clinical information availableonline. So why bother with a book? Is it just the authors plaything?Maybe. But then the aim of this book is not to add to the informationout there, but rather to distil clinical evidence, experience andtechniques into a useable format.

When I imagine someone opening this book, it is most often astressed junior ophthalmologist or optician, with a queue of patientswaiting to be seen. Not for lack of curiosity, but she is not, at thisparticular moment, interested in the pathophysiology of recurrentcorneal erosion syndrome. Rather, she wants to know how, precisely,to manage Mr Smiths spontaneous corneal defect; which eye drops,how often, for how long, and when to see him again?

As time passes, I hope that this book remains useful to both you,and Mr Smith.

Timothy L Jackson

James E Neffendorf & Timothy L Jackson

James F Acheson
National Hospital for Neurology and
Neurosurgery &
Moorfields Eye Hospital, London, UK

Gillian GW Adams
Consultant Ophthalmic Surgeon
Moorfields Eye Hospital, London, UK

Adam Bates
Consultant Ophthalmologist,
Maidstone & Tunbridge Wells NHS
Trust, London, UK

Ben Burton
Visiting Professor University of
East Anglia
Consultant Ophthalmologist
James Paget University Hospital
Great Yarmouth, UK

Carol Cunningham

Consultant Ophthalmic Surgeon
Moorfields Eye Hospital, London, UK

Lyndon da Cruz

Moorfields Eye Hospital and
NIHR BMRC at Moorfields Eye hospital
and the Institute of Ophthalmology.
London, UK

John KG Dart

Consultant Ophthalmologist
Moorfields Eye Hospital
Honorary Professor, UCL
London, UK

Catherine Egan

Consultant Ophthalmologist
Moorfields Eye Hospital, London, UK

Paul J Foster

Professor of Glaucoma Studies &
Ophthalmic Epidemiology
UCL Institute of Ophthalmology &
Moorfields Eye Hospital
London, UK

Gus Gazzard
Minimally Invasive Glaucoma Surgery
Director, Glaucoma Service &
Consultant Surgeon,
Moorfields Eye Hospital NHS
Foundation Trust
Professor of Glaucoma Studies,
UCL Institute of Ophthalmology
London, UK

Thomas G Hardy

Eye Surgery Consultants,
East Melbourne, Australia

Timothy L Jackson
and Appendices; Editor
Professor of Retinal Research and
Consultant Ophthalmic Surgeon,
Kings College London,
London, UK

Ronald Kam
Consultant Ophthalmologist
Moorfields Eye Hospital
London, UK

Peng T Khaw

Professor of Glaucoma and Ocular
Healing, and Consultant Ophthalmic
Surgeon
NIHR Biomedical Research Centre for
Ophthalmology
Moorfields Eye Hospital and UCL
Institute of Ophthalmology
London, UK

Anthony Khawaja

Consultant Surgeon
Moorfields Eye Hospital NHS
Foundation Trust, London, UK

Sue L Lightman

Professor of Clinical Ophthalmology
and Consultant Opthalmologist
UCL Institute of Ophthalmology &
Moorfields Eye Hospital, London, UK

David L Lunt

Consultant Ophthalmologist
South Tees Hospitals
Middlesbrough, UK

Priscilla Mathewson

Moorfields Eye Hospital
London, UK

Prithvi Mruthyunjaya

Ophthalmologist
Byers Eye Institute
Palo Alto, USA

James E Neffendorf

Vitreoretinal Surgery Clinical and
Research Fellow
Kings College London
London, UK

Gordon T Plant

The National Hospital for Neurology
and Neurosurgery
Moorfields Eye Hospital
St Thomas Hospital
London, UK

Yashin Ramkissoon

Consultant Ophthalmologist
Sheffield Teaching Hospitals
Sheffield, UK

Geoffrey E Rose

Consultant Orbital, Lacrimal and
Oculoplastic Surgeon
Moorfields Eye Hospital, London, UK

Mandeep S Sagoo

Professor of Ophthalmology and
Ocular Oncology, UCL Institute of
Ophthalmology;
Consultant Ophthalmic Surgeon,
Moorfields Eye Hospital & Barts
Health NHS Trust,
London, UK

Guy T Smith

Consultant Ophthalmic Surgeon
Great Western Hospital
Swindon, UK

Chris Timms

Principal Orthoptist
Moorfields Eye Hospital, London, UK

Adnan Tufail