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Parsons’ Diseases of the Eye

23RD EDITION

Editors

Ramanjit Sihota, MD, DipNB,

FRCOphth, FRCSEd
Professor of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic
Sciences, All India Institute of Medical Sciences, New Delhi

Radhika Tandon, MD, DipNB,

FRCOphth, FRCSEd (Gold Medalist)
Professor of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic
Sciences, All India Institute of Medical Sciences, New Delhi
Table of Contents

Cover image

Title page

Copyright

Preface to the twenty third edition

Preface to the twenty second edition

Acknowledgements

Reviewers
Section I: Anatomy and Physiology of the Eye and
Visual Pathway

1. Anatomy of the eye

Suggested reading

2. Physiology of the eye

Suggested reading
3. The physiology of vision

Suggested reading

4. The neurology of vision

Suggested reading

Section II: Optics and Refraction

5. Elementary optics and optical system of the normal eye

Suggested reading

6. Clinical refraction and refractive errors

Suggested reading

Section III: Basics of Clinical Examination and

Treatment

7. Clinical history taking and interpretation of symptoms

8. Clinical examination

Assessment of vision

Examination of the anterior segment

Examination of the posterior segment and orbit

Suggested reading
9. Clinical investigations

10. Ocular therapeutics and lasers

Suggested reading

Section IV: Diseases of the Eye

11. Diseases of the conjunctiva

Suggested reading

12. Diseases of the cornea

Suggested reading

13. Diseases of the sclera

14. Diseases of the uveal tract

Suggested reading

15. Diseases of the lens

Suggested reading

16. Glaucoma

Suggested reading

17. Diseases of the retina and vitreous

 Suggested reading

18. Diseases of the optic nerve

Suggested reading

19. Intraocular tumours

Suggested reading

Section V: Eye Movements and Their Disorders

20. Anatomy and physiology of the motor mechanism

21. Squint: Comitant strabismus

Suggested reading

22. Paralytic squint

Section VI: Diseases of the Adnexa

23. Diseases of the eyelids

24. Diseases of the lacrimal apparatus

25. Diseases of the orbit

Suggested reading

Section VII: Systemic Ophthalmology

26. Diseases of the nervous system with ocular manifestations

27. Ocular manifestations of systemic disorders

Section VIII: Ophthalmic Emergencies

28. Eye injuries

29. Nontraumatic ophthalmic emergencies

References

Section IX: Preventive Ophthalmology

30. Genetics in ophthalmology

31. Community ophthalmology

Suggested reading

Section X: Ophthalmic Instruments and Their

Practical Usage

32. Dark room procedures in ophthalmology

33. Surgical instruments in ophthalmology

Appendix I: Local anaesthesia in ophthalmology

Appendix II: Radiology illustrations

Appendix III: Case studies

Index
Copyright

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Parsons’ Diseases of the Eye, 23rd Ed, Sihota and Tandon

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Preface to the twenty-third edition
Ramanjit Sihota, Radhika Tandon

It is an honour and pleasure to present yet another edition of ‘Parsons’

Diseases of the Eye’. This classic textbook with its unique features provides
a comprehensive compendium of information covering all the relevant
aspects of ophthalmology for thorough knowledge of the subject. This 23rd
edition has been updated keeping in view the changing disease spectrum,
practice patterns and advancements in technology. We are happy that the
MCI has provided an updated competency-based undergraduate curriculum
which is to be rolled out in August 2019 and glad to provide the information
that the contents of this book have been updated in compliance to fully
cover all the aspects as prescribed. Additional information has been
seamlessly integrated to provide a higher level of understanding of
ophthalmology for those with a higher level of interest such as medical
students with special curiosity about the subject, postgraduate students to
revise their own understanding and teachers and clinicians who wish to
refresh and update themselves. Core skills prescribed by the MCI are also
adequately covered in the text and are supported by digital material. We
hope you enjoy reading it and using the online resources to enrich
yourselves as much as we did in preparing it for you.
Preface to the twenty-second
edition
Ramanjit Sihota, Radhika Tandon

It is an honour and pleasure to present yet another edition of “Parsons’

Diseases of the Eye”. This classic textbook with its unique features provides
a comprehensive compendium of information covering all the relevant
aspects of ophthalmology for thorough knowledge of the subject. This 22nd
Edition has been updated keeping in view the changing disease spectrum,
practice patterns and advancements in technology. We hope you enjoy
reading it and enrich your information spectrum as much as we did in
preparing it for you.
Acknowledgements
Ramanjit Sihota, Radhika Tandon

The authors remain deeply indebted to the faculty, residents and students of
Dr Rajendra Prasad Centre for Ophthalmic Sciences, Chief of the Centre
and Director of All India Institute of Medical Sciences for the rich academic
and clinical milieu provided to nurture our work. We are also grateful to
Elsevier, a division of RELX India Pvt Ltd, and its entire team of
professional experts for support in finishing the book.
A special thanks to Professor Pradeep Sharma who provided extremely
valuable suggestions to improve the Strabismus chapters, Professor Pradeep
Venkatesh who has been graciously updating the Vitreoretinal and Uvea
chapters for many years, Professor Neelam Pushkar for her inputs to the
Ophthalmoplasty section from her vast experience and Prof Sanjay Sharma
for providing common, typical ocular Radiology images.
Dr Archita Singh has enthusiastically helped collate photographs and
skill-based videos that have greatly helped improve the book.
The authors would also like to thank Dr. Kishan Azmira, Dr. Priyanka
Ramesh and Dr. Kartikeyan for their work on Case Studies.
We acknowledge and greatly appreciate the efforts and invaluable
comments of our editors; we would especially like to thank Fariha for her
diligent support and professional help throughout the revision process.
Last but not the least, we would like to make an endearing mention of our
families who with their loyal forbearance allowed us to spend our spare
time and devote our attention to this work, without which it would not have
been possible to achieve this.
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