Visual and auditory challenges:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1999
|
| Schriftenreihe: | Clinics in geriatric medicine
15,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIII, 209 S. Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Visual and auditory challenges |c Carol R. Kollarits ... guest eds. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1999 | |
| 300 | |a XIII, 209 S. |b Ill., graph. Darst. | ||
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| 490 | 1 | |a Clinics in geriatric medicine |v 15,1 | |
| 650 | 2 | |a Maladies de l'oeil - Sujet âgé | |
| 650 | 4 | |a Ouïe, Troubles de l' | |
| 650 | 2 | |a Troubles de l'audition - Sujet âgé | |
| 650 | 2 | |a Troubles de la vision - Sujet âgé | |
| 650 | 4 | |a Vision, Troubles de la, chez la personne âgée | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Communicative disorders in old age | |
| 650 | 4 | |a Eye Diseases | |
| 650 | 4 | |a Eye diseases and defects |x Older people | |
| 650 | 4 | |a Hearing Disorders | |
| 650 | 4 | |a Hearing disorders |x Older people | |
| 650 | 4 | |a Presbycusis | |
| 650 | 4 | |a Vision Disorders | |
| 650 | 4 | |a Vision disorders |x Older people | |
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Datensatz im Suchindex
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| adam_text | VISUAL AND AUDITORY CHALLENGES
CONTENTS
Preface xi
Carol R. Kollarits, Allan M. Rubin, and Joel A. Goebel
Sudden Painless Visual Loss: Optic Nerve
and Circulatory Disturbances 1
Gregory S. Kosmorsky
There are many causes of sudden painless visual loss in older
adults. This article reviews the causes that are based on distur¬
bances of the optic nerve and disorders of the circulatory system
of the eye. Clinical clues to the recognition of these disorders and
treatment (if available) are reviewed.
Sudden Painless Visual Loss: Retinal Causes 15
Paul V. Whitmore
Sudden painless visual loss occurs in retinal disorders that reflect
primary ocular disease, as well as systemic disease. This article
reviews vitreous and retinal detachment and macular degeneration
as ocular causes of sudden visual loss. Retinal changes that are
caused by systemic disease, including infectious retinitis, occlusion
of retinal vessels, and proliferative new vessel formation, are re¬
viewed. In each instance, the retinal examination should provide
the ocular or systemic diagnosis or lead to the diagnosis.
Gradual Painless Visual Loss: Retinal Causes 25
Susan G. Elner
This article addresses retinal causes of gradual painless visual loss
in older adults. The most common condition causing gradual vi¬
sion loss is nonexudative age related macular degeneration, for
which no effective treatment exists. Diabetic retinopathy is another
common cause of gradual visual loss in older adults, in which pho
tocoagulation, as well as vitreous surgery, may be helpful in pre
CLIN1CS IN GERIATRIC MEDICINE
VOLUME 15 • NUMBER 1 • FEBRUARY 1999 V
serving or restoring vision. Macular hole and macular pucker,
which may cause central visual loss, are treatable with intraocular
surgery, and visual improvement may be achieved in the majority
of patients. Inflammatory causes of gradual visual loss in older
adults are less common, and may benefit from immunosuppressive
therapy.
Gradual Painless Visual Loss: Chronic Optic Neuropathies 47
Susan Carleton Benes and Nathan Long
The clinician must be the ultimate medical detective when dealing
with chronic optic neuropathies. History taking is crucial. Clinical
examination may require supplementation with visual field test¬
ing, fluorescein angiography, ocular and orbital ultrasound imag¬
ing, CT and MR imaging, blood test data, and cerebrospinal fluid
or tissue biopsy data to determine the specific diagnosis. This sup¬
plementation is labor intensive and time consuming; the visual
loss usually will progress throughout the process, frustrating and
frightening the patient and physician. The final common pathway
is gradual optic atrophy; the appearance of the optic nerve is rarely
adequate to determine the cause of the visual loss. This article in¬
cludes tables that review diagnostic aids and therapies, and lists
the frequency with which several disease entities were encountered
over 15 years in one tertiary care neuro ophthalmic practice. If a
specific cause is discernible, then a specific therapy may be avail¬
able. This approach has the best chance of saving the patient s vi¬
sion with the least toxicity caused by erroneous trials. By necessity,
the work up for these patients is expensive, but the cost of not
pursuing the cause is irrevocable, permanent blindness.
Gradual Painless Visual Loss: Anterior Segment Causes 87
Shailaja Valluri
There are estimated to be 40 million blind individuals throughout
the world. The majority of blind people in developing and devel¬
oped countries are older adults. As the number of people over 60
years of age increases, the number of blind people also will in¬
crease. The primary care physician can play a major role in diag¬
nosing and preventing many blinding diseases. This article dis¬
cusses some of the major anterior segment causes of visual
impairment in older adults in the industrialized nations.
Gradual Painless Visual Loss: Glaucoma 95
Ronald Kendrick
Glaucoma is one of the leading causes of blindness in adult Amer¬
icans. This disease remains undetected in one half of the people
with this disease. Primary open angle glaucoma is the most com¬
mon form of the disease. Patients at risk for glaucoma usually have
one or more of the following characteristics: advanced age, diabe
Vi CONTENTS
tes, myopia, elevated intraocular pressure, large cup to disc ratio,
and a positive family history of the disease. Presently in the United
States, treatment for primary open angle glaucoma is usually medi¬
cal. Six classes of glaucoma medications are available, all of which
have side effects. The second most prevalent form of glaucoma is
angle closure glaucoma, the treatment for which is usually surgical.
Although a cure for the various forms of glaucoma does not exist,
an awareness of the problem and early detection and treatment
minimize the impact of the disease.
The Painful Eye: External and Anterior Segment Causes 103
Paul E. Cutarelli and Michael A. Aronsky
When a patient presents to a medical practitioner with a painful
eye, the initial history is extremely valuable in determining the
cause of the complaint. The patient should be questioned specifi¬
cally about the onset and duration of symptoms; description of the
pain; exacerbating and mitigating factors; associated pruritis, dis¬
charge, or photophobia; and any previous occurrences. It is im¬
portant to inquire about the patient s past medical history, past
ocular history (including surgeries, trauma, contact lens wear, and
family history of glaucoma), systemic and ocular medications, and
allergies. A careful examination of the patient s skin, face, eyelids,
conjunctiva, sclera, cornea, and anterior chamber should be per¬
formed. In this article, the authors describe a variety of external
diseases and anterior segment causes of a painful eye, many of
which can be diagnosed from the initial history. The article works
systematically, beginning externally with the eyelids and conjunc¬
tiva and progressing internally toward the cornea and anterior
chamber.
The Painful Eye: Neuro Ophthalmic Causes 113
Thomas J. Mehelas
A physician should have a better appreciation of diseases that
can cause significant ocular morbidity and, in some cases, death.
This article describes some of the painful eye syndromes associated
with ocular, orbital, and intracranial disease. Differential diagnosis,
clinical findings, laboratory investigation, and treatment are re¬
viewed.
Prevention of Visual Loss in Older Adults 131
Arup Das
The major causes of visual loss in older adults are cataracts, glau¬
coma, age related macular degeneration, and diabetic retinopathy.
Intensive research is ongoing for the prevention of these diseases.
The present article updates different research studies and clinical
trials aimed at prevention of visual loss in older adults.
CONTENTS Vli
Hearing Loss with Aging: Presbycusis 145
Edward S. Cohn
Older adults with presbycusis have varied presentations. Early
identification requires sensitivity to communication problems de¬
scribed by patients and their families. Early amplification may lead
to better success in hearing aid use and may prevent social isola¬
tion.
Nonsurgical Management of Hearing Loss 163
Randa Mansour Shousher and Waleed Nasr Mansour
This article presents the salient points involved in age induced
hearing loss (i.e., presbycusis). The general evaluation, screening,
diagnosis, and treatment modalities are discussed. Also, advances
in hearing aid technology are described.
Otolaryngologic Management of Dizziness
in the Older Patient 179
Jon E. Isaacson and Allan M. Rubin
Studies report that dizziness is the most common presenting symp¬
tom in older patients who seek primary care. To understand the
causes of dizziness, which is one of the major risk factors in causing
falls in the older population, basic anatomy and physiology are
reviewed in this article. Age specific histopathologic changes occur
in the labyrinth of the inner ear. To display evidence of the patient s
symptoms, evaluation must include a comprehensive history,
neurotologic examination, and diagnostic testing. There are com¬
mon disorders associated with dizziness; thus, management de¬
pends on the cause. Once a diagnosis is secured, treatment is in¬
stituted based on sound medical principles.
Tinnitus: Etiology and Management 193
Kevin J. Peifer, Gerald P. Rosen, and Allan M. Rubin
Tinnitus is the perceived sensation of sound in the absence of
acoustic stimulation. Individuals who suffer from it are commonly
between the ages of 40 and 80 years. Tinnitus is often classified as
objective or subjective, yet the pathophysiologic cause is still un¬
known. Subjective tinnitus is largely identified with hearing loss.
Management of tinnitus is based on an individual approach; there
is no single treatment or regimen for it.
Index 205
Subscription Information Inside back cover
Viii CONTENTS
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| spelling | Visual and auditory challenges Carol R. Kollarits ... guest eds. Philadelphia [u.a.] Saunders 1999 XIII, 209 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in geriatric medicine 15,1 Maladies de l'oeil - Sujet âgé Ouïe, Troubles de l' Troubles de l'audition - Sujet âgé Troubles de la vision - Sujet âgé Vision, Troubles de la, chez la personne âgée Aged Communicative disorders in old age Eye Diseases Eye diseases and defects Older people Hearing Disorders Hearing disorders Older people Presbycusis Vision Disorders Vision disorders Older people Sehstörung (DE-588)4054284-1 gnd rswk-swf Hörstörung (DE-588)4025437-9 gnd rswk-swf Alter (DE-588)4001446-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Alter (DE-588)4001446-0 s Sehstörung (DE-588)4054284-1 s DE-604 Hörstörung (DE-588)4025437-9 s Kollarits, Carol R. Sonstige oth Clinics in geriatric medicine 15,1 (DE-604)BV000019839 15,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008464855&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Visual and auditory challenges Clinics in geriatric medicine Maladies de l'oeil - Sujet âgé Ouïe, Troubles de l' Troubles de l'audition - Sujet âgé Troubles de la vision - Sujet âgé Vision, Troubles de la, chez la personne âgée Aged Communicative disorders in old age Eye Diseases Eye diseases and defects Older people Hearing Disorders Hearing disorders Older people Presbycusis Vision Disorders Vision disorders Older people Sehstörung (DE-588)4054284-1 gnd Hörstörung (DE-588)4025437-9 gnd Alter (DE-588)4001446-0 gnd |
| subject_GND | (DE-588)4054284-1 (DE-588)4025437-9 (DE-588)4001446-0 (DE-588)4143413-4 |
| title | Visual and auditory challenges |
| title_auth | Visual and auditory challenges |
| title_exact_search | Visual and auditory challenges |
| title_full | Visual and auditory challenges Carol R. Kollarits ... guest eds. |
| title_fullStr | Visual and auditory challenges Carol R. Kollarits ... guest eds. |
| title_full_unstemmed | Visual and auditory challenges Carol R. Kollarits ... guest eds. |
| title_short | Visual and auditory challenges |
| title_sort | visual and auditory challenges |
| topic | Maladies de l'oeil - Sujet âgé Ouïe, Troubles de l' Troubles de l'audition - Sujet âgé Troubles de la vision - Sujet âgé Vision, Troubles de la, chez la personne âgée Aged Communicative disorders in old age Eye Diseases Eye diseases and defects Older people Hearing Disorders Hearing disorders Older people Presbycusis Vision Disorders Vision disorders Older people Sehstörung (DE-588)4054284-1 gnd Hörstörung (DE-588)4025437-9 gnd Alter (DE-588)4001446-0 gnd |
| topic_facet | Maladies de l'oeil - Sujet âgé Ouïe, Troubles de l' Troubles de l'audition - Sujet âgé Troubles de la vision - Sujet âgé Vision, Troubles de la, chez la personne âgée Aged Communicative disorders in old age Eye Diseases Eye diseases and defects Older people Hearing Disorders Hearing disorders Older people Presbycusis Vision Disorders Vision disorders Older people Sehstörung Hörstörung Alter Aufsatzsammlung |
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