Introduction: Overview of Visual Impairment, Blindness and Major Eye Diseases in Asia Antimicrobial Prophylaxis for Routine Cataract Surgery 11

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1 Contents Introduction: Overview of Visual Impairment, Blindness and Major Eye Diseases in Asia 1 Tien-Yin WONG, Donald TH TAN, Chong-Lye ANG SECTION 1 CATARACT AND CATARACT SURGERY 1.1 Antimicrobial Prophylaxis for Routine Cataract Surgery 11 Tat-Keong CHAN 1.2 Applications in Phacodynamics Control 19 Jon KY GOH 1.3 Transition to Small Incision Phacoemulsification 29 Ronald LS YEOH 1.4 Techniques of Phacoemulsification 37 Yong-Ming POR, Soon-Phaik CHEE 1.5 Intraocular Lens Implant and Biometry 45 Zainah ALSAGOFF, Daniel HW SU, Soon-Phaik CHEE 1.6 Strategies for Prevention and Management of Complications during 55 Phacoemulsification Soon-Phaik CHEE, Seng-Ei TI 1.7 Management of Dropped Nucleus during Phacoemulsification 71 Sze-Guan ONG, Julian TS THENG 1.8 Phacoemulsification of Complicated Cataracts 75 Soon-Phaik CHEE, Kristine BACSAL 1.9 Transition to Microincision Cataract Surgery 91 Soon-Phaik CHEE 1.10 Endophthalmitis after Cataract Surgery 99 Tien-Yin WONG, Soon-Phaik CHEE 1.11 Delayed-onset Endophthalmitis 105 SECTION 2 GLAUCOMA AND GLAUCOMA SURGERY 2.1 Epidemiology of Glaucoma 113 Paul J FOSTER 2.2 Acute Primary Angle-closure Glaucoma 123 Aliza HE JAP, Steve KL SEAH, Arthur SM LIM 2.3 Chronic Angle-closure Glaucoma 131 Sek-Tien HOH, Rahat HUSAIN, Steve KL SEAH 2.4 Primary Open-angle Glaucoma 137 Daniel HJ SIM

2 2.5 Primary Congenital Glaucoma 145 Ching-Lin HO, David S WALTON 2.6 Glaucoma Imaging 159 Sek-Tien HOH, Kelvin YC LEE, Steve KL SEAH 2.7 Pearls of Glaucoma Surgery 169 Aliza HE JAP, Boon-Ang LIM, Steve KL SEAH 2.8 Glaucoma Drainage Implants 181 Tin AUNG, Steve KL SEAH 2.9 Cataract and Glaucoma Surgery 185 Francis TS OEN 2.10 Introduction to the Genetics of Glaucoma 193 Tin AUNG SECTION 3 CORNEAL AND EXTERNAL EYE DISEASES 3.1 Asian Blepharitis and Meibomian Gland Dysfunction 201 Seng-Ei TI, Soon-Phaik CHEE, Bobby CL CHENG, Jessica Marie ABAÑO, Donald TH TAN 3.2 Pterygium 207 Donald TH TAN, Sao-Bing LEE, Jessica Marie ABAÑO 3.3 Atopic Disorders of the Ocular Surface 217 Li LIM, Donald TH TAN 3.4 Ocular Surface Disease 223 Seng-Ei TI, Leonard PK ANG, Donald TH TAN 3.5 Microbial Keratitis 235 Julian TS THENG, Li LIM, Donald TH TAN 3.6 Corneal Transplantation 253 Leonard PK ANG, Jessica Marie ABAÑO, Li LIM, Donald TH TAN 3.7 Contact Lenses 267 Li LIM, Chong-Yew KHOO, Donald TH TAN SECTION 4 REFRACTIVE SURGERY 4.1 Basic Principles of Refractive Surgery 279 Julian TS THENG, Anna Lisa YU, Wing-Kwong CHAN 4.2 Patient Selection for LASIK 289 Tze-Lin WEE, Li LIM 4.3 Pearls in LASIK 297 Tze-Lin WEE 4.4 Future Trends in Refractive Surgery 299 Julian TS THENG, Wing-Kwong CHAN SECTION 5 SURGICAL RETINA 5.1 Repair of Rhegmatogenous Retinal Detachment 305 Ian YS YEO, Chong-Lye ANG

3 5.2 Proliferative Vitreoretinopathy 319 Chong-Lye ANG 5.3 Giant Retinal Tears 325 Chong-Lye ANG, Shu-Yen LEE 5.4 Vitrectomy in Diabetic Retinopathy 333 Kim-Teck YEO, Yong-Ming POR, Daphne CY HAN 5.5 Macular Surgery 343 Doric WK WONG 5.6 Penetrating Posterior Segment Trauma Principles of Management 349 Shu-Yen LEE, Chong-Lye ANG SECTION 6 MEDICAL RETINA 6.1 Management of Diabetic Retinopathy 359 Kim-Teck YEO 6.2 Clinical Approach to the Diagnosis and Treatment of 375 Serosanguineous Maculopathy Adrian HC KOH, Doric WK WONG, Bobby CL CHENG 6.3 Central Serous Chorioretinopathy 387 Adrian HC KOH, Louis HT TONG, Ian YS YEO, Doric WK WONG 6.4 Retinitis Pigmentosa 395 Adrian HC KOH 6.5 Clinical Visual Electrophysiology 403 Adrian HC KOH, Audrey WL CHIA, Sharon LC TOW, Chi D LUU 6.6 Management of Patients with Low Vision 413 Lusiana Hasan YEO, Yvonne LF LING, Audrey WL CHIA SECTION 7 OCULOPLASTIC AND ORBITAL DISEASES 7.1 Introduction to Oriental Eyelids: Anatomical and Surgical Considerations 425, Chai-Teck CHOO 7.2 Ptosis Epiblepharon Entropion Ectropion and Facial Nerve Palsy 449, Chai-Teck CHOO 7.6 Malignant Eyelid Tumours Blepharoplasty 461 Chin-Tek CHUAH, Chai-Teck CHOO 7.8 Ophthalmic Plastic Endoscopic Surgery 469 Chai-Teck CHOO

4 7.9 Botulinum Toxin Lacrimal Disease and Surgery: Tearing in Children and Adults 481 Lay-Leng SEAH 7.11 Disease Manifestations and Management of Graves Orbitopathy 493 Lay-Leng SEAH 7.12 Orbital Diseases and Approach to Orbital Surgery 501 Jack ROOTMAN, Audrey LG LOOI, Lay-Leng SEAH SECTION 8 OCULAR INFLAMMATION & IMMUNOLOGY 8.1 Ocular Immunity 519 Justine R SMITH 8.2 Uveitis An Approach to Diagnosis Anterior Uveitis Intermediate Uveitis 547 Ranjana MATHUR, Soon-Phaik CHEE 8.5 Vogt-Koyanagi-Harada Disease 553 Soon-Phaik CHEE 8.6 Sympathetic Ophthalmia 563 Wee-Kiak LIM, Daniel HW SU, Soon-Phaik CHEE 8.7 Behçet s Disease Ocular Sarcoidosis 579 Bobby CL CHENG, Soon-Phaik CHEE 8.9 Infective Uveitis 585 Bobby CL CHENG, Soon-Phaik CHEE, Wee-Kiak LIM 8.10 Masquerade Syndrome 595 Ranjana MATHUR, Soon-Phaik CHEE 8.11 Endogenous Endophthalmitis 601 Yong-Ming POR, Soon-Phaik CHEE 8.12 Scleritis and Episcleritis Management of Cataracts and Glaucoma in Uveitis Patients Local Medical Therapy for Uveitis 631 Daniel HW SU, Soon-Phaik CHEE 8.15 Immunosuppressive Therapy in Uveitis 635 Hiok-Hee CHNG

5 SECTION 9 SQUINTS AND PAEDIATRIC EYE DISEASES 9.1 Assessment of Vision in Childhood 643 Linley SEENYEN, Yvonne LF LING 9.2 General Principles of Strabismus 651 Yvonne LF LING, Audrey WL CHIA 9.3 Approach to Common Horizontal Strabismus in Children 661 Boon-Long QUAH 9.4 Strabismus in Graves Orbitopathy 671 Sonal Kaizad FARZAVANDI 9.5 Retinopathy of Prematurity 677 Audrey WL CHIA, Yvonne LF LING 9.6 Retinoblastoma 687 Boon-Long QUAH 9.7 Congenital Cataract 699 Audrey WL CHIA, Vivian BALAKRISHNAN 9.8 Management of Childhood Myopia 705 Seang-Mei SAW, Wei-Han CHUA SECTION 10 NEURO-OPHTHALMOLOGY 10.1 Practical Neuro-ophthalmic Examination 715 JF CULLEN, Sonal Kaizad FARZAVANDI 10.2 Visual Loss 1 Visual Loss With Optic Disc Swelling 721 JF CULLEN 10.3 Visual Loss 2 Visual Loss Without Optic Disc Swelling 727 Sharon LC TOW 10.4 Diplopia, Disorders of Ocular Motility and Nystagmus 733 JF CULLEN, Sharon LC TOW, Sonal Kaizad FARZAVANDI, Kong-Yong GOH 10.5 Anisocoria and the Pupil 739 Kong-Yong GOH 10.6 Disorders of the Facial Nerve and Blepharospasm 743 Sharon LC TOW, JF CULLEN Quality Assurance Programme Singapore National Eye Centre 747 Glenda YL LEONG, Peter SF TSENG, Charity SL WAI Index

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