The Wills Eye Manual
Office and Emergency Room Diagnosis and Treatment of Eye Disease
Seventh Edition
TEXT EDITORS
Nika Bagheri | Brynn N. Wajda
MULTIMEDIA EDITORS
Charles M. Calvo | Alia K. Durrani
FOUNDING EDITORS
Mark A. Friedberg | Christopher J. Rapuano
Acquisitions Editor: Kel McGowan
Senior Product Development Editor: Emilie Moyer
Senior Production Project Manager: Alicia Jackson
Design Coordinator: Holly McLaughlin
Cover Photo Credit: Ehsan Rahimy, MD
Senior Manufacturing Coordinator: Beth Welsh
Prepress Vendor: Aptara, Inc.
Seventh edition
Copyright 2017 Wolters Kluwer
Sixth Edition, 2012 by Lippincott Williams & Wilkins, a Wolters Kluwer business
Fifth Edition 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business
Fourth Edition 2004, by Lippincott Williams & Wilkins, a Wolters Kluwer business
Third Edition, 1999 by Lippincott Williams & Wilkins
Second Edition, 1994 by Lippincott-Raven Publishers
First Edition, 1990 by J.B. Lippincott Company
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).
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Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Bagheri, Nika, editor. | Wills Eye Hospital (Philadelphia, Pa.)
Title: The Wills eye manual : office and emergency room diagnosis and treatment of eye disease / text editors: Nika Bagheri, Brynn N. Wajda ; multimedia editors: Charles M. Calvo, Alia K. Durrani ; founding editors: Mark A. Friedberg, Christopher J. Rapuano.
Other titles: Eye manual
Description: Seventh edition. | Philadelphia : Wolters Kluwer, [2017] | Includes index. | Preceded by The Wills eye manual / editors, Adam T. Gerstenblith, Michael P. Rabinowitz ; associate editors, Behin I. Barahimi, Christopher M. Fecarotta ; founding editors, Mark A. Friedberg, Christopher J. Rapuano. 6th ed. 2012.
Identifiers: LCCN 2015048902 | ISBN 9781496318831
Subjects: | MESH: Eye Diseasesdiagnosis | Eye Diseasestherapy | Emergency Treatmentmethods | Emergencies | Outlines
Classification: LCC RE48.9 | NLM WW 18.2 | DDC 617.7dc23
LC record available at http://lccn.loc.gov/2015048902
This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings, and side effects and to identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used, or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher or Wills Eye Hospital and its personnel for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
Specific Disclaimer Concerning Medical Information and Practice.
The information provided in this publication is for informational purposes only. It is not a substitute for medical advice, medical practice, or medical decision-making. Use of this publication does not constitute medical practice or medical consultation between healthcare professionals. Any person experiencing a medical condition should discuss their health related problems with a healthcare professional.
Contributors
CONTRIBUTORS TO THE SEVENTH EDITION
Murtaza K. Adam, M.D.
Faheem Ahmed, M.D.
Blair Armstrong, M.D.
Michael N. Cohen, M.D.
Nathan Cutler, M.D.
Brenton Finklea, M.D.
Alison Huggins, M.D.
Marta McKeague, M.D.
Nina Ni, M.D.
Jinali Patel, M.D.
Priya Sharma, M.D.
Christine Talamini, M.D.
Alice L. Williams, M.D.
Michelle Wilson, M.D.
Cover Photo
Ehsan Rahimy, M.D.
CONTRIBUTORS TO THE SIXTH EDITION
Fatima K. Ahmad, M.D.
Christopher J. Brady, M.D.
Adam T. Gerstenblith, M.D.
Meg R. Gerstenblith, M.D.
Katherine G. Gold, M.D.
Sebastian B. Heersink, M.D.
Suzanne K. Jadico, M.D.
Brandon B. Johnson, M.D.
Jennifer H. Kim, M.D.
Amanda E. Matthews, M.D.
Melissa D. Neuwelt, M.D.
Anne M. Nguyen, M.D.
Linda H. Ohsie, M.D.
Kristina Yi-Hwa Pao, M.D.
Michael P. Rabinowitz, M.D.
Mindy R. Rabinowitz, M.D.
Vikram J. Setlur, M.D.
Gary Shienbaum, M.D.
Eileen Wang, M.D.
Douglas M. Wisner, M.D.
CONTRIBUTORS TO THE FIFTH EDITION
Text Contributors
Paul S. Baker, M.D.
Shaleen L. Belani, M.D.
Shawn Chhabra, M.D.
John M. Cropsey, M.D.
Emily A. DeCarlo, M.D.
Justis P. Ehlers, M.D.
Gregory L. Fenton, M.D.
David Fintak, M.D.
Robert E. Fintelmann, M.D.
Nicole R. Fram, M.D.
Susan M. Gordon, M.D.
Omesh P. Gupta, M.D., M.B.A.
Eliza N. Hoskins, M.D.
Dara Khalatbari, M.D.
Bhairavi V. Kharod, M.D.
Matthew R. Kirk, M.D.
Andrew Lam, M.D.
Katherine A. Lane, M.D.
Michael A. Malstrom, M.D.
Chrishonda C. McCoy, M.D.
Jesse B. McKey, M.D.
Maria P. McNeill, M.D.
Joselitio S. Navaleza, M.D.
Avni H. Patel, M.D.
Chirag P. Shah, M.D., M.P.H.
Heather N. Shelsta, M.D.
Bradley T. Smith, M.D.
Vikas Tewari, M.D.
Garth J. Willis, M.D.
Allison P. Young, M.D.
Photo Contributors
Elizabeth L. Affel, M.S., R.D.M.S.
Robert S. Bailey, Jr., M.D.