Decision-Making in Ophthalmology
Decision Making Series
- 1st Edition - December 19, 2025
- Latest edition
- Editor: Neil J. Friedman
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 3 0 4 0 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 0 4 1 - 3
Think systematically and follow a logical sequence throughout the steps of diagnostic decisions with Decision-Making in Ophthalmology. This valuable resource is perfect for ophtha… Read more
Purchase options
Think systematically and follow a logical sequence throughout the steps of diagnostic decisions with Decision-Making in Ophthalmology. This valuable resource is perfect for ophthalmologists and trainees, as well as optometrists and primary care and emergency medicine physicians who need to make informed decisions about their patients' care on a day-to-day basis. Practical and easy to use, it’s filled with work-up and diagnostic algorithms that provide easy-to-follow guidance when encountering patients whose clinical presentation is unfamiliar or complex. Each point-of-care algorithm represents a common ophthalmic problem or disease, and offers a concise visual representation that clearly guides you through the steps of efficient and effective decision making.
- Contains more than 230 algorithms with accompanying explanations, covering common general signs and symptoms as well as specific eye disorders, organized by subspecialty area
- Covers all ophthalmic subspecialties, including orbit and lid, neuro-ophthalmology, pediatrics and strabismus, cornea and external disease, lens/cataract, glaucoma, posterior segment, trauma, and tumors
- Color-coded for ease of understanding, helping you differentiate between the key information to gather and questions to consider, actions to take, and any relevant differential diagnoses
- Provides step-by-step guidance for diagnosis of common complaints like vision loss, double vision, eye pain, red eye, and tearing; evaluation for elective procedures such as cosmetic eyelid surgery and refractive surgery; the latest treatment for dry eye disease, glaucoma, macular degeneration, childhood myopia, and retinopathy of prematurity; the use of ophthalmic viscoelastic devices and advanced technology intraocular lenses; management of refractive, cataract, and glaucoma intraoperative and postoperative surgical complications; approaches to traumatic injuries and non-accidental trauma; and much more
- Shares the knowledge and expertise of editor Dr. Neil J. Friedman, who is joined by section editors who lend a well-rounded perspective across ophthalmic subspecialties: Drs. Ore-Ofe O. Adesina, Zaina Al-Mohtaseb, Ann Caroline Fisher, Peter K. Kaiser, Timothy J. McCulley, and Ann Shue
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date
Ophthalmologists and ophthalmology residents/fellows
Working TOC:
Part 1: Common Signs and Symptoms
Section 1: Symptoms
Vision loss (sudden, gradual, transient, field loss)
Visual distortion
Decreased color vision (dyschromatopsia)
Decreased night vision (nyctalopia)
Double vision (diplopia) (2 types: binocular (horizontal, vertical, intermittent, constant), monocular)
Floaters
Flashes (photopsias)
Glare/Halos
Sensitivity to light (photophobia)
Eye strain (asthenopia)
Eye pain (3 types: ocular (superficial/FBS, deep/ache), orbital/periorbital)
Foreign body sensation
Itchy eye
Red eye
Tearing (epiphora) (adults, children)
Discharge/lid crusting
Lid swelling
Lash loss (madarosis)
Orbital swelling
Section 2: Signs
Progressive/acquired myopia
Progressive/acquired hyperopia
Visual field defect (types: hemianopia (homonymous, bitemporal, binasal), constriction, central, altitudinal, arcuate, enlarged blind spot)
Relative afferent pupillary defect
Anisocoria
Nystagmus
Proptosis
Ptosis (dx, ddx)
Conjunctival membrane/pseudomembrane
Conjunctival inflammation (papillae, follicles, chemosis, injection)
Symblepharon
Dilated episcleral vessels
Pannus
Superficial punctate keratopathy/epitheliopathy
Cornea verticillate
Corneal edema
Corneal opacity
Corneal neovascularization
Hyphema
Hypopyon
Hypotony
Iris heterochromia
Iris neovascularization
Leukocoria
Dislocated lens (ectopia lentis)
Vitritis
Vitreous hemorrhage
Retinal hemorrhage
Cotton wool spots
Roth spots
Retinal embolus
Macular edema
Macular exudates
Retinal vasculitis/periphlebitis
Bull’s eye maculopathy
Retinal neovascularization
Choroidal neovascularization
Choroidal folds
Optic disc edema
Optic atrophy
Part 2: Specific Ocular Disorders
Section 3: Orbit/Lid
Orbital fractures
Retrobulbar hemorrhage
Thyroid eye disease
Idiopathic orbital inflammation/Orbital pseudotumor
Orbital tumors
Orbital cellulitis
Preseptal cellulitis
Hordeolum/Chalazion
Eyelid laceration
Ptosis (rx)
Ectropion
Entropion
Blepharospasm
Bell’s palsy
Floppy eyelid syndrome
Trichiasis
Eyelid tumors/lesions (benign, malignant)
Acquired nasolacrimal duct obstruction
Canaliculitis
Dacryocystitis
Dacryoadenitis
Lacrimal gland masses
Section 4: Neuro-ophthalmology
Cranial nerve 3 palsy
CN 4 palsy
CN 6 palsy
CN 5 palsy
Multiple cranial nerve palsies
Chronic progressive external ophthalmoplegia
Other motility disturbances
Myasthenia gravis
Papilledema
Pseudopapilledema
Optic neuropathy (AION/NAION, toxic, traumatic, other)
Optic neuritis
Optic nerve tumors
Visual hallucinations
Migraine
Functional visual loss
Amaurosis fugax
Visual pathway lesions/Chiasm syndromes
Vertebrobasilar insufficiency
Section 5: Pediatrics/Strabismus
Myopia (rx)
Amblyopia
Esotropia
Exotropia
A and V patterns
Dissociated vertical deviation
Duane syndrome
Brown syndrome
Childhood orbital tumors
Congenital ptosis
Congenital nasolacrimal duct obstruction
Ophthalmia neonatorum
Cloudy cornea
Congenital cataracts
Childhood glaucoma
Anterior uveitis
Posterior uveitis
Retinopathy of prematurity
Coats disease
Color deficiency
Hereditary chorioretinal dystrophies
Hereditary macular dystrophies
Retinitis pigmentosa
Albinism
Leber congenital amaurosis
Phakomatoses
Retinoblastoma
Hereditary optic neuropathies
Section 6: Cornea/External Disease
Blepharitis
Meibomian gland dysfunction
Dry eye disease
Conjunctival foreign body
Conjunctivitis (acute, chronic)
Pterygium
Pigmented conjunctival lesions
Conjunctival squamous carcinoma
Episcleritis
Scleritis
Corneal laceration/open globe
Corneal foreign body
Corneal abrasion
Chemical burn
Contact lens-related disorders
Limbal stem cell deficiency
Recurrent erosion
Anterior basement membrane dystrophy
Stromal dystrophies
Fuchs dystrophy (corneal endothelial dystrophy)
Salzmann nodule
Corneal ulcer (central, peripheral)
HSV keratitis
Herpes Zoster ophthalmicus
Peripheral ulcerative keratitis
Keratoconus
Refractive surgery/Laser vision correction screening
Corneal haze
Keratectasia
Diffuse lamellar keratitis
Flap striae
Section 7: Anterior Segment
Iris nodules
Iris tumors
Plateau iris
Pigment dispersion syndrome
Pseudoexfoliation
Presbyopia (rx)
Section 8: Cataracts ad Glaucoma
Advanced technology IOLs (screening, workup)
Intraoperative floppy iris syndrome (IFIS)
Zonular weakness/dehiscence
Blurry vision after cataract surgery
Posterior capsular opacification
Retained lens fragment
Dislocated IOL
Toxic anterior segment syndrome (TASS)
Postoperative endophthalmitis
Ocular hypertension
Glaucoma suspect
Acute angle-closure glaucoma
Secondary angle-closure glaucoma
Primary open angle glaucoma (dx/workup)
Normal tension glaucoma
Pseudoexfoliation glaucoma
Pigment disperstion glaucoma
Neovascular glaucoma
Malignant glaucoma
Uveitic glaucoma
Lens-induced glaucoma
Medical glaucoma treatment
Laser glaucoma treatment
Surgical glaucoma treatment
Minimally invasive glaucoma surgery (MIGS)
Shallow chamber after glaucoma surgery
Blebitis
Section 10: Uveitis
Anterior uveitis
Intermediate uveitis
Pars planitis
Posterior uveitis (infections, white-dot syndromes, inflammatory conditions)
Panuveitis
Uveitis (treatment: local, systemic)
Endophthalmitis
Section 11: Posterior Segment
Penetrating trauma/intraocular foreign body
Choroidal rupture
Posterior vitreous detachment
Retinal tear
Rhegmatogenous retinal detachment
Lattice degeneration
Retinal artery occlusions
Retinal vein occlusions
Hypertensive retinopathy
Diabetic retinopathy (NPDR, PDR, rx)
Epiretinal membrane
Cystoid macular edema (rx)
Central serous chorioretinopathy
Vitreomacular traction
Macular hole
Age-related macular degeneration (dry, wet)
Wet AMD treatment
Macular telangiectasia
Myopic degeneration
Toxic maculopathies
Retinal infections/inflammations (Uveitis section?)
Serous retinal detachment
Choroidal effusion
Choroidal detachment
Choroidal nevus
Choroidal melanoma
Low vision (eval, management)
- Edition: 1
- Latest edition
- Published: December 19, 2025
- Language: English
NF
Neil J. Friedman
Adjunct Clinical Professor Neil J. Friedman
works in the Department of Ophthalmology at Stanford University School of Medicine, Partner, Mid-Peninsula Ophthalmology Medical Group, Menlo Park, CA, USA.
Affiliations and expertise
Adjunct Clinical Professor, Department of Ophthalmology, Stanford University School of Medicine, Partner, Mid-Peninsula Ophthalmology Medical Group, Menlo Park, CA, USA