Primary Glaucoma

Primary Glaucoma

426 BOOK REVIEWS FACTORS INFLUENCING VOCATIONAL R E H A ­ By Ellen Reid. New York, American Foundation for the Blind, 1960. 128 pages, 42 tables, b...

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426

BOOK REVIEWS

FACTORS INFLUENCING VOCATIONAL R E H A ­

By Ellen Reid. New York, American Foundation for the Blind, 1960. 128 pages, 42 tables, bibliog­ raphy, paperbound. Price: $1.50. The present status of rehabilitation of the blind is a recent development and has been greatly aided by the inventions of braille, the typewriter, telephone, and tape recorder, as well as the mechanization of industry. In 1943, Congress established the Office of Vo­ cational Rehabilitation, which extended to disabled civilians, including the blind, an op­ portunity for vocational rehabilitation. Among the 50 states, 37 follow the pattern of separate rehabilitation centers for the blind. These centers teach travel training, skills in daily living activities and trades. This Pennsylvania study reveals clearly that the most important factors for success are health, intelligence, motivation and personal­ ity. The basis of most personality problems among the blind stem from rejection, overt or implied, on the part of the parents. Blind children respond well to the same family relationships that are good for sighted chil­ dren. As the prevailing attitude of society determines rejection on the part of the par­ ents, a friendly, humanitarian outlook on the part of the general public is essential. BILITATION OF THE BLIND.

James E. Lebensohn.

By Paul Weinstein, M.D. Budapest, Medicina, 1961. 284 pages, 150 figures, 23 tables, extensive bibliography, index. The name of the author is familiar to the readers of T H E JOURNAL not only because he has written many papers but also because he published a monograph in 1953, entitled "Glaucoma: Pathology and therapy." To this work discussing the complex problems of glaucoma and based on about 3000 refer­ ences, Derrick Vail wrote the preface in which he points out that to find one's way in the enormous mass of published evidence and to distinguish the important from the PRIMARY GLAUCOMA.

less relevant is a task not many can cope with. I agree with Dr. Vail in that Dr. Wein­ stein is a man capable of doing just that. This ability has made it possible for the author to make available for Hungarian doctors the signficant results achieved in glaucoma research during the past eight years. In his valuable monograph compara­ ble to those written by Sugar, Pietruschka and Leydhecker, we find not only a survey of the evidence published since 1950 but also clear-cut views as to the present state of the glaucoma problem. The concepts known from the literature on glaucoma: outflow coefficient, angle resis­ tance, tonography, new loading (tolerance) procedures, secretion stop, hemostatic reflex, and so forth are described in detail. There is also a discussion of the new anatomic features (ciliary plexus, aqueous vein, bulbicle of the vorticose veins, mucopolysaccharide content of the angle, gonio-anatomy). Convincing evidence is presented as to the role of the central nervous system in the control of ocular tension. Intraocular pres­ sure is usually low in cases of cerebral in­ jury and after leukotomy; ocular tension in­ creases in response to the electrical stimula­ tion of certain areas of the diencephalon. In response to darkness the hypophyseal-hypothalmic system produces a substance which increases intraocular pressure. The injection of retrobulbar ganglionic blocking drugs lessens this effect. After iridectomy, destruc­ tion takes place in the cells of the ciliary ganglion. Peter C. Kronfeld wrote the following about the monograph published in English in 1953: "Altogether the book is a valuable, important contribution to the literature which will prove helpful to the clinician as well as the research worker." These words apply in an increased measure to this new book by Prof. Weinstein. Gyula Lugossy.