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Stacy Smith - Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach

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Stacy Smith Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach

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It is paramount for clinicians to understand the distinguishing signs and symptoms among many different local and systemic neuro-ophthalmic disorders in order to provide the most efficacious evaluations and treatments. Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach, Third Edition reflects the authors extensive training and experience in the field of neuro-ophthalmology, as well as updates in the field. Stacy Smith, Andrew Lee, Paul Brazis, and an impressive group of contributors have written an unsurpassed learning tool on how to manage patients with known or presumed neuro-ophthalmologic conditions, in the most logical, straightforward, and cost-effective manner.
The authors share significant clinical pearls and knowledge throughout 20 chapters. The book lays a solid foundation on the management of neurologic eye disorders including symptoms, ophthalmologic testing, diagnosis, and treatment. Among the discussed disorders are anterior and retrobulbar optic neuropathies, disorders of ocular motility and alignment, lid abnormalities, and anisocoria. Insights are provided on key topics including the use of office examinations, laboratory tests, and neuroimaging studies to make an ophthalmologic diagnosis; and ophthalmologic therapy to treat eye movement disorders such as nystagmus.
Key Highlights
Unique graphic algorithms help clinicians differentiate conditions with frequently overlapping clinical manifestations
The evaluation and treatment of various neuro-ophthalmologic processes, stratified by four classes of evidence and four levels of clinical recommendation
A basic set of references for each subject enables readers to expand knowledge
High quality four-color clinical images enhance learning
This book is essential reading for neuro-ophthalmologists, ophthalmologists, neurologists, and residents and fellows in these fields of medicine.

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Clinical Pathways in Neuro-Ophthalmology

An Evidence-Based Approach

Third Edition

Stacy V. Smith, MD
Neuro-ophthalmologist
Assistant Professor
Department of Neurology
Houston Methodist Neurological Institute
Blanton Eye Institute
Houston Methodist The Woodlands Hospital
The Woodlands, Texas
Assistant Professor
Weill Cornell Medical College
New York, New York

Andrew G. Lee, MD
Chairman
Department of Ophthalmology
Blanton Eye Institute
Houston Methodist Hospital
Houston, Texas
Professor of Ophthalmology, Neurology, and Neurosurgery
Weill Cornell Medical College
New York, New York
Professor of Ophthalmology, UTMB and UT MD
Anderson Cancer Center and Texas A and M College of Medicine (Adjunct)
Houston, Texas
Adjunct Professor
Baylor College of Medicine and The Center for Space Medicine
Houston, Texas
Adjunct Professor
The University of Iowa Hospitals and Clinics
Iowa City, Iowa
Adjunct Professor
The University of Buffalo
Buffalo, New York

Paul W. Brazis, MD
Neuro-ophthalmologist
Professor Emeritus
Departments of Neurology and Ophthalmology
Mayo Clinic
Jacksonville, Florida

32 illustrations

Thieme
New York Stuttgart Delhi Rio de Janeiro

Executive Editor: William Lamsback
Managing Editor: Elizabeth Palumbo
Director, Editorial Services: Mary Jo Casey
Assistant Managing Editor: Haley Paskalides
Production Editor: Naamah Schwartz
International Production Director: Andreas Schabert
Editorial Director: Sue Hodgson
International Marketing Director: Fiona Henderson
International Sales Director: Louisa Turrell
Director of Institutional Sales: Adam Bernacki
Senior Vice President and Chief Operating Officer: Sarah Vanderbilt
President: Brian D. Scanlan

Library of Congress Cataloging-in-Publication Data

Names: Smith, Stacy, (Stacy V.), author. | Lee, Andrew G. | Brazis, Paul W.

Title: Clinical pathways in neuro-ophthalmology: an evidence-based approach / Stacy Smith, Houston Methodist Academic Medicine Associates, The Woodlands, TX, USA, Andrew G. Lee, Blanton Eye Institute, Houston Methodist Eye Associates, Houston, TX, USA, Paul W. Brazis, Dept. of Neurology (Professor Emeritus), Mayo Clinic, Jacksonville, FL, USA.

Description: 3 [edition]. | New York: Thieme, [2019] | Revision of: Clinical pathways in neuro-ophthalmology / Andrew G. Lee, Paul W. Brazis. c2003. 2nd ed. | Includes bibliographical references and index.

Identifiers: LCCN 2018006221 | ISBN 9781626232853 (print) | ISBN 9781626232860 (e-book)

Subjects: LCSH: Neuroophthalmology. | Medical protocols. | Evidence-based medicine.

Classification: LCC RE725.L44 2019 | DDC 617.7dc23 LC record available at https://lccn.loc.gov/2018006221

2019 Thieme Medical Publishers, Inc.
Thieme Publishers New York
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Cover design: Thieme Publishing Group
Typesetting by Thomson Digital, India

Printed in The United States of America by King Printing Company, Inc. 5 4 3 2 1

ISBN 978-1-62623-285-3

Also available as an e-book:
eISBN 978-1-62623-286-0

Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book.

Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers in respect to any dosage instructions and forms of applications stated in the book. Every user is requested to examine carefully the manufacturers leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the present book. Such examination is particularly important with drugs that are either rarely used or have been newly released on the market. Every dosage schedule or every form of application used is entirely at the users own risk and responsibility. The authors and publishers request every user to report to the publishers any discrepancies or inaccuracies noticed. If errors in this work are found after publication, errata will be posted at www.thieme.com on the product description page.

Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

This book including all parts thereof is legally protected by copyright Any - photo 1

This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation, without the publishers consent, is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, mimeographing, preparation of microfilms, and electronic data processing and storage.

To our spouses, Hilary Beaver (Lee), Liz (Brazis), and Joseph Haynes (Smith).

To our parents, Alberto C. Lee, MD, and Rosalind G. Lee, MD; Dr. and Mrs. Peter T. Brazis; Mr. Thomas W. Smith and Charlene Smith, MD.

To our children, Rachael and Virginia Lee; Paul and Erica Brazis.

Contents

Ama Sadaka, Paul D. Chamberlain, Leanne M. Little, and Shauna Berry

Leanne M. Little

Stacy V. Smith

Murtaza M. Mandviwala, Shauna Berry, Weijie V. Lin, and Ama Sadaka

Alec L. Amram

Stacy V. Smith

Murtaza M. Mandviwala, Alec L. Amram, and Mohammed Rigi

Austin S. Nakatsuka, Alec L. Amram, and Mohammad Obadah Nakawah

Beena M. Shah

Murtaza M. Mandviwala and Alec L. Amram

William J. Hertzing and Alec L. Amram

William J. Hertzing, Alec L. Amram, and Andres S. Parra

Stacy V. Smith, Andrew G. Lee, and Paul W. Brazis

Alison K. Yoder

John D. Eatman and Stacy V. Smith

Grecia Rico

Elsa Rodarte

Angeline Mariani Derham

Benjamin A. Dake

Noreen Shaikh

Foreword

Never in the history of medicine have physicians had so many ways to both diagnose and treat disease, and never have physicians had so many bureaucratic barriers to performing these activities. This paradox has necessitated a return to the days when clinical judgment was at least as important as diagnostic testing. The challenge to all of us who care for patients is thus to understand the signs and symptoms that distinguish between many different local and systemic disorders so that we can perform the most logical, expeditious, safe, and economic assessment.

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