By Robert H. Rosa Jr., MD
This quantity is split into elements: half I, Ophthalmic Pathology; and half II, Intraocular Tumors: scientific points. half I makes use of a hierarchy that strikes from normal to express to aid derive a differential analysis for a particular tissue. half II is a compilation of chosen scientific facets of value to the overall ophthalmologist. Following half II are the yankee Joint Committee on melanoma 2010 staging kinds for ocular and adnexal tumors. This revised textual content includes a number of new pathologic and medical images. significant revision 2011-2012.
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Extra info for 2011-2012 Basic and Clinical Science Course, Section 4: Ophthalmic Pathology and Intraocular Tumors (Basic & Clinical Science Course)
B, Gross photograph showing posterior view of iri dodia lys is (arrows). (Part A courtesy of Hans E. ) The iris diaphragm may be lost completely through a relatively sman limbal rupture as~ sociated with 360" iridodialysis. A Vossius ring appears when compression and rupture of iris pigment epithelial cells agai nst the anterior surface of the lens occur, depositing a ring of melanin pigment concentric to the pupiL A cataract may form immediately if the lens capsule is ruptured . The lens capsule is thinnest at the posterior pole, a point farthest away from the lens epithelial cens.
Viral infec tions , in add iti on to inciting a follicular conjunctivitis, often affect the cornea, A B Figure 5-7 Conjunctival foreign-body granuloma. A, Clinical appearance on the bulbar conjunctiva. Bi Histologi C analysis of the specimen from a different patient under polarized light shows multiple foreign fibers of various colors, with surrounding foreign-body granulomatous reaction, Including multiple giant ce lls (arrowheads). (Parr A counesyof AnthonyJ Lubmewski. MO; parr B courtesy of George J Harocopos.
Courtesy of Hans E. ) CHAPTER 2: Wou nd Repa ir . 19 ,, Figure 2-5 Cyclod ialysis (arrow) shows disin- sertion of ci liary body muscle (asterisk) from the scleral spur (arrowhead). ) Figure 2-6 Angle recession shows a rupture in the ciliary body in the plane between the ext ernal longitudinal muscle fibers and the internal circu lar and oblique fibers (arrow); the iris root is displaced posteriorly (arrowhead). Note the scleral spur (astenskJ, dal hemorrhage. The borders of the dome-shaped choroidal hemorrhage are defined by the position of the vo rtex veins and the scleral spur (Fig 2- 7) .