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Heidi Featherstone - Small Animal Ophthalmology: Whats Your Diagnosis

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Heidi Featherstone Small Animal Ophthalmology: Whats Your Diagnosis

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Small Animal Ophthalmology: Whats Your Diagnosis? is one of the first books in an exciting new series that combines problem-based learning, case studies, and questions and answers. Designed specifically for veterinarians and students, the series aims to present material in a format to enhance critical thinking and understanding.Adopting a case-based approach, chapters are built around common ophthalmic presentations and are directed by questions to test the readers ability to interpret clinical history, ophthalmic photographs and diagnostic results in order to provide differential diagnoses, diagnostic plans and treatment options.For veterinary students, this book is an ideal guide to how ophthalmology cases are handled in the clinical setting. For veterinary practitioners, it is an innovative and interesting way to increase their knowledge and skills in clinical ophthalmology.

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This edition first published 2011 by Blackwell Publishing Ltd 2011 by Heidi - photo 1

This edition first published 2011 by Blackwell Publishing Ltd

2011 by Heidi Featherstone and Elaine Holt

Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwells publishing program has been merged with Wileys global Scientific, Technical and Medical business to form Wiley-Blackwell.

Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK

The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

2121 State Avenue, Ames, Iowa 50014-8300, USA

For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell.

The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any 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 prior permission of the publisher.

Designations used by companies to distinguish their products are often claimed as trademarks. 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 not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

Library of Congress Cataloging-in-Publication Data

Featherstone, Heidi

Small animal ophthalmology : whats your diagnosis? / Heidi Featherstone, Elaine Holt.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-4051-5161-0 (pbk. : alk. paper)

1. Veterinary ophthalmology. 2. Pet medicine. I. Holt, Elaine. II. Title.

[DNLM: 1. Eye DiseasesveterinaryCase Reports. 2. Eye DiseasesveterinaryProblems and Exercises. 3. Animals, DomesticCase Reports. 4. Animals, DomesticProblems and Exercises. 5. Diagnosis, DifferentialCase Reports. 6. Diagnosis, DifferentialProblems and Exercises. SF 891]

SF891.F43 2011

636.089'77dc22

2010041328

A catalogue record for this book is available from the British Library.

This book is published in the following electronic formats: ePDF 9781444340013; ePub 9781444340020

Foreword

Welcome to one of the most useful and informative ophthalmology text-books to have been published in recent years. The authors are to be commended on creating a reference book that is unlike any other currently on the market. They are medical educators that have drawn from a wealth of private practice knowledge and experience to create a highly practical guide to some of the most common presentations of ophthalmic disease. This highly utilitarian and functional approach is exemplified by their overall organizational approach. Rather than assuming the traditional front to back approach taught in most classroom settings, the purpose of this text can be first best reflected in its chapters titles, whereby they encompass the most frequently encountered small animal patient complaints such as ocular discharge, the painful eye, the opaque eye, the abnormal pupil, blindness, and ocular trauma (to name just a few). The strength of this textbook is evident that all major topic areas have been presented using actual cases, which are both beautifully photodocumented and carefully organized. In addition to the numerous high quality coloured photographs, are clear illustrations, the results of advanced imaging modalities which in some cases utilize 3D reconstruction, and histopathology all which dramatically strengthen the calibre of each case presentation.

The book will appeal to veterinary clinicians at all stages of the educational process, ranging from veterinary students and new graduates to board-certified ophthalmic specialists. The employment of case-based examples prompts the reader to hone his/her clinical acumen by working through relevant questions pertaining to differential diagnoses and the selection of appropriate diagnostic tests. Diagnosis, treatment, prognosis, and discussion are clearly provided. Importantly, the authors recognize that, depending on the readers level of experience, different diagnostic and therapeutic strategies may, at times, be equally successful to those provided and thus ample opportunities for additional reading is provided by way of several appendices, glossaries, and extensive bibliographic material. As I have, I believe you will find this text one of the most enjoyable, informative, and user-friendly practical approaches to small animal ophthalmology to have been published in many years.

Elizabeth A. Giuliano, DVM, MS

Diplomate, American College of Veterinary Ophthalmologists

Preface

Veterinary ophthalmology is a visual discipline not because the eye is the organ of vision but because the evidence that is required to diagnose ocular disease in animals is often highly visible. In other veterinary specialities a problem typically requires extensive investigation, but in veterinary ophthalmology a thorough ocular examination and a few routine tests may well result in an accurate diagnosis. The challenge is to know what to look for, and then to interpret the clinical signs correctly. Techniques such as electroretinography and advanced diagnostic imaging have their place, but only in a small number of cases.

There are numerous textbooks in both the human and veterinary fields containing comprehensive information on all aspects of ophthalmology, from anatomy and physiology to the treatment of clinical disease. The aim of this book is to offer the reader a practical guide to diagnosis using a case-based, systematic approach. It is intended for anyone with an interest in veterinary ophthalmology, including the general practitioner and the veterinary student.

We are veterinary ophthalmologists working in busy referral practices, with experience in general practice and in undergraduate and postgraduate teaching. We have sought to provide a pragmatic approach to the diagnosis and management of ocular disease in small animals, and to share our thought processes, drawing on the broad spectrum of examples in our daily case loads, from extreme forms of common conditions to more complex ocular disease. Practical recommendations are supported by extensive photodocumentation, and an appendix of tips for interpreting the information obtained from ophthalmic examination.

Heidi Featherstone & Elaine Holt

Acknowledgements

As with any book, the finished work is possible only with the help of many people. We are indebted to numerous colleagues, not only for generously contributing case material, but also for their time and advice. For their ophthalmology expertise, we thank Peter Renwick, Christine Heinrich, John Mould, Mike Rhodes, Barbara Braus, Sue Manning, Elizabeth Giuliano, Ellison Bentley, Marnie Ford and David Gould. Peter Renwick and Christine Heinrich deserve special thanks for their generosity in sharing their library of photographs, built up over many years. John Mould also deserves special thanks for his exceptional photographic skills, and for his readiness to share his photographs. With respect to imaging, we are grateful to Paul Mahoney for his tireless help and advice on advanced imaging techniques, and to Ruth Dennis and Rob White for sharing their case material. Emma Scurrell has provided invaluable expertise, along with enthusiasm, on ophthalmic pathology, supported by excellent gross and histological photographs. Simon Scurrell has worked skilfully and painstakingly on the annotated diagrams. Photographing the eyes of conscious dogs and cats is a challenge that requires excellent handling skills and patience: special thanks to David Hindley, Stephanie Ascott, Tom Buckley, Nicola Millington, Lou Hadley and the nursing team at Willows Veterinary Centre and Referral Service. Sue Jenkins non-veterinary editing expertise has been invaluable throughout.

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