By Carl D. Regillo MD
Experiences the elemental anatomy of the retina and diagnostic ways to retinal affliction. comprises huge examinations of issues of the retina and vitreous, together with illness, irritation, hereditary dystrophies, abnormalities and trauma. Discusses laser treatment and vitreoretinal surgical procedure. final significant revision 2008-2009.
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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 12: Retina and Vitreous (Basic & Clinical Science Course)
3 as = 1. 8 Time sc ale = 5 m sec/ di v , , :latency differe nce I = 9 msec I T im e scale = 5 m sec/ div Figure 3·7 ERG in central retin al vein occlusion . The ri ght eye is normal. The left eye shows a mild reduction in b-wave amplitu de but a striking delay in th e latency of the fl icker responses . The implicit time (arrows) of t he responses f ro m th e left eye is longer than t he interval betwe en peaks, a sign that is stron gly suggestive of diff use damage to th e retina. (Reprinted with permission from Breton M E, Quinn GE, Keene 55, Dahmen JC Crucker AJ Electroretin ogram parameters at presentation as predictors of rubeosis in central retinal vein occlusion patients.
8, Patient with diabetic macular edema and vitreous traction. Note the posterior hyaloid (yellow arrow) pulling on the retina, a fine epiretinal membrane (white arrow) on the retinal surface, a[ld the increased retinal thickness. (Courtesy of Peter K. J CHAPTER 2: Di agnostic Approach to Retina l Disease. 29 macular edema, monitoring the course of central serous chorioretinopathy, making agerelated macular degeneration (AMD) treatment decisions, and evaluating for subtle subretinal fluid that is not visible on FA.
Clinically, however, SLO has been used more in the objective evaluation of the surface contour of the optic nerve head in glaucoma than in the diagnosis of retinal disease. One historic disadvantage of the SLO was the fact that it produced only a monochromatic image because a single-wavelength laser was used; however, true color representation of the fundus with an SLO is now possible by combining images taken using blue, green, 30 • Retina and Vitreous and red lasers, as well as simultaneous lCG and FA by using an argon laser (488- nm) and a diode laser (795 nm) from an extern al source delivered by single-mode fibers.
2011-2012 Basic and Clinical Science Course, Section 12: Retina and Vitreous (Basic & Clinical Science Course) by Carl D. Regillo MD