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
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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
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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.
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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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