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Neuro-Ophthalmology Review Manual, 2nd edition
102
AMERICAN JOURNAL OF OPHTHALMOLOGY
and draws appropriate attention to the important factors in interpreting visual fields. Overall, I find this book to be a valuable contribution to the growing book shelf on computerized perimetry, which can serve as an excellent resource to residents and clinicians. It is a good value and, although the quality of the print in some of the printouts is less than ideal, I believe it is an excellent addition to my library.
Neuro-Ophthalmology Review Manual, 2nd edition. By Frank J. Bajandas and Lanning B. Kline. Thorofare, New Jersey, Slack, Inc., 1987. 176 pages, index, illustrated. $34.50 Reviewed by WILLIAM T. SHULTS
Portland, Oregon This concise volume is the retitled second edition of an extremely popular work, "NeuroOphthalmology Board Review Manual," by the late Frank Bajandas. The original book was targeted for those residents and practitioners who were reviewing neuro-ophthalmology in preparation for taking the board examinations. The material was so effectively presented that the audience expanded to include residents and-fellows at all levels of training as well as practitioners desiring a handy reference for matters neuro-ophthalmic. Dr. Kline's revision wisely retains all the flavor of the original. The first chapter treats visual field defects with special attention to their localizing value. A helpful visual field quiz follows this chapter to allow the reader to apply the lessons just learned. Supranuclear and internuclear gaze pathways and their disorders are covered next with a particularly lucid explanation of vestibular eye movements, an area many ophthalmologists find confusing. A short chapter on nystagmus follows with a helpful discussion of those nystagmus types of localizing value. The disorders affecting the three ocular motor nerves are treated from a no-nonsense anatomic view that should prove useful to the reader. A series of simplified diagrams is included to assist in visualizing the anatomic relationships. Though these are generally accurate, two diagrams show the trochlear nerves
July, 1987
crossing after their exit from the brainstem instead of within the anterior medullary vellum as correctly stated in the text. The pupil pathways and pharmacologic testing of pupillary function are the subject of the following chapter. The explanation of the Paredrine test and assessment of the mydriatic pupil are particularly lucid. I would have liked to see some mention of quantitation of the magnitude of a relative afferent pupillary defect using neutral density filters. The " p l u s " system espoused is not as meaningful or as reproducible. The next two chapters review the causes of optic nerve swelling and atrophy. Methanol should be added to the list of toxins associated with optic neuropathy. Myasthenia gravis and various ocular myopathies are briefly discussed followed by chapters on the fifth and seventh cranial nerves. The illustration (Fig. 13-1) depicting the location of lesions producing the "seven syndromes of the seventh nerve" is particularly useful. The final two chapters review headache and ancillary clinical procedures such as temporal artery biopsy and Tensilon testing. With respect to the latter, routine pretreatment with atropine is unfortunately not recommended. Many have found the use of atropine to be beneficial in avoiding the cholinergic side effects of edrophonium. Dr. Kline's revision is an extremely helpful compendium of core knowledge in neuroophthalmology and deserves to enjoy the same success as its predecessor. Assimilation of its lessons will not only help the reader to pass the boards, but, more importantly, will provide a solid foundation of knowledge in neuroophthalmology.
Ophthalmic Plastic and Reconstructive Surgery. By Martin Hatt, translated by F. C. Blodi. New York, Thieme Medical Publishers, 1986.166 pages, index, illustrated. $56 Reviewed by PHILIP L. CUSTER
St. Louis, Missouri Dr. Hatt's goal in this text is to present oculoplastic surgery from a pathophysiologic
AMERICAN JOURNAL OF OPHTHALMOLOGY
and draws appropriate attention to the important factors in interpreting visual fields. Overall, I find this book to be a valuable contribution to the growing book shelf on computerized perimetry, which can serve as an excellent resource to residents and clinicians. It is a good value and, although the quality of the print in some of the printouts is less than ideal, I believe it is an excellent addition to my library.
Neuro-Ophthalmology Review Manual, 2nd edition. By Frank J. Bajandas and Lanning B. Kline. Thorofare, New Jersey, Slack, Inc., 1987. 176 pages, index, illustrated. $34.50 Reviewed by WILLIAM T. SHULTS
Portland, Oregon This concise volume is the retitled second edition of an extremely popular work, "NeuroOphthalmology Board Review Manual," by the late Frank Bajandas. The original book was targeted for those residents and practitioners who were reviewing neuro-ophthalmology in preparation for taking the board examinations. The material was so effectively presented that the audience expanded to include residents and-fellows at all levels of training as well as practitioners desiring a handy reference for matters neuro-ophthalmic. Dr. Kline's revision wisely retains all the flavor of the original. The first chapter treats visual field defects with special attention to their localizing value. A helpful visual field quiz follows this chapter to allow the reader to apply the lessons just learned. Supranuclear and internuclear gaze pathways and their disorders are covered next with a particularly lucid explanation of vestibular eye movements, an area many ophthalmologists find confusing. A short chapter on nystagmus follows with a helpful discussion of those nystagmus types of localizing value. The disorders affecting the three ocular motor nerves are treated from a no-nonsense anatomic view that should prove useful to the reader. A series of simplified diagrams is included to assist in visualizing the anatomic relationships. Though these are generally accurate, two diagrams show the trochlear nerves
July, 1987
crossing after their exit from the brainstem instead of within the anterior medullary vellum as correctly stated in the text. The pupil pathways and pharmacologic testing of pupillary function are the subject of the following chapter. The explanation of the Paredrine test and assessment of the mydriatic pupil are particularly lucid. I would have liked to see some mention of quantitation of the magnitude of a relative afferent pupillary defect using neutral density filters. The " p l u s " system espoused is not as meaningful or as reproducible. The next two chapters review the causes of optic nerve swelling and atrophy. Methanol should be added to the list of toxins associated with optic neuropathy. Myasthenia gravis and various ocular myopathies are briefly discussed followed by chapters on the fifth and seventh cranial nerves. The illustration (Fig. 13-1) depicting the location of lesions producing the "seven syndromes of the seventh nerve" is particularly useful. The final two chapters review headache and ancillary clinical procedures such as temporal artery biopsy and Tensilon testing. With respect to the latter, routine pretreatment with atropine is unfortunately not recommended. Many have found the use of atropine to be beneficial in avoiding the cholinergic side effects of edrophonium. Dr. Kline's revision is an extremely helpful compendium of core knowledge in neuroophthalmology and deserves to enjoy the same success as its predecessor. Assimilation of its lessons will not only help the reader to pass the boards, but, more importantly, will provide a solid foundation of knowledge in neuroophthalmology.
Ophthalmic Plastic and Reconstructive Surgery. By Martin Hatt, translated by F. C. Blodi. New York, Thieme Medical Publishers, 1986.166 pages, index, illustrated. $56 Reviewed by PHILIP L. CUSTER
St. Louis, Missouri Dr. Hatt's goal in this text is to present oculoplastic surgery from a pathophysiologic