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Atlas of Diseases of the Anterior Segment of the Eye the Crystalline Lens
VOL. 83, NO. 5
BOOK REVIEWS
ceeded in doing this, but b e c a u s e of the condensation has limited the ophthalmologic audience to which such a text might b e useful. T h u s , certain differential points which aid in distinguishing one disease from another cannot b e covered adequately and variations in the fundus picture are likewise beyond the scope of this text. However, within these limitations Dr. Larsen has succeeded admirably. T h e reproductions are, on the whole, good. T h e y are usually presented six to a page with the accompanying text on the adjacent page. T h e presentation o f text and photograph keeps page-jumping to a m i n i m u m . F o r most o f the disease entities the text includes a presentation o f the clinical picture, the ophthalmoscopic findings, and the histology. Again, because of the condensation o f the text, those details that would b e of interest to the more advanced ophthalmologist are lacking. T h i s book is well worth having and is primarily r e c o m m e n d e d to those beginning their eye training, to ancillary ophthalmologic personnel, and to those physicians outside the ophthalmologic community who may need to refresh their knowledge of retinal disorders. RONALD E . CARR
Atlas o f D i s e a s e s o f t h e Anterior S e g m e n t o f the E y e , vol. 5. T h e Crystalline L e n s . B y David D . Donaldson. St. Louis, C . V. M o s b y Company, . 1 9 7 6 . C l o t h b o u n d , 2 1 0 pages, table o f - c o n tents, index, 1 2 9 black and white figures, 16 color viewer reels, compact viewer. $ 5 4 . 5 0 T h i s is the fifth, and alas the last, in the series o f atlases published by Dr. Donaldson. T h e first four were atlases of external diseases of the eye; this last vol-
763
ume is devoted entirely to the lens. T h e unifying element, however, is the fact that the entities described in all five volumes are within the range, literally and figuratively, of Dr. Donaldson's remarkable photographic talents. T h e b l a c k and white photographs interspersed throughout the text are sharp and clear and the color slides in the viewer reels are the a c m e o f stereoscopic photography; they literally " j u m p out at you." However, this book offers more than a series of splendid pictures o f cataracts. Chapter one is a s u c c i n c t resume o f the anatomy and embryology o f the lens. T h e combination of text and pictures clarifies the usually m u d d l e d classification of lens nuclei and sutures in older textbooks. Chapter two reviews abnormalities o f the lens other than cataracts and includes an excellent presentation on persistent hyperplastic primary vitreous. Chapter three is devoted to congenital cataracts and the next four chapters to acquired cataracts o f various kinds. Particular emphasis is placed on cataracts associated with systemic disease. T h e final chapter on iatrogenic surgical complications is especially appropriate in a book on cataracts. T h e material in these seven chapters is arranged in a standard pattern. A brief introductory paragraph or two describes the entity b e i n g presented, often with a black and white photograph to illustrate the text, followed by a reference to the color reels and a history of the case being illustrated. Although this book is billed as an atlas, it actually has excellent textual material that is well worth reading independently. It is authoritative and up-todate, and includes material on indications and contraindications for phacoemulsification and intraocular lenses. F i n a l l y , reviewers o f previous volumes have suggested investing in a sturdier viewer with a self-contained light source since the collapsible viewer supplied
764
AMERICAN JOURNAL O F OPHTHALMOLOGY
with the book is somewhat awkward to use. T h u s we c o m e to the end of an exhaustive pictorial review of the anterior segment in five volumes. However, one hopes that one will meet Dr. Donaldson elsewhere—in the vitreous? in the fund u s ? No matter, the site will b e attractively and excellently presented. DAVID SHOCH
N u c l e a r Ophthalmology. E d i t e d by Millard N. Croll, L u t h e r W. Brady, Paul Carmichael, and Robert J . Wallner. New York, J o h n Wiley & Sons, Inc., 1 9 7 6 . C l o t h b o u n d , 2 8 4 pages, table of contents, index, glossary, 2 7 tables, approximately 2 8 7 black and white figures. $ 2 5 T h i s book presents the proceedings o f a symposium on nuclear ophthalmology jointly sponsored by departments o f radiation therapy and nuclear m e d i c i n e and the retina service of the Wills E y e Hospital. T h e contents of the book reflect this diversified interest. A section on physical fundamentals contains a number o f definitions, imaging techniques with radionuclides, and properties of radionuclides that are available for medical use. L e s i o n s o f the uveal tract and the associated use of radionuclides in diagnosis are described from the viewpoint o f clinical experience, instrumentation, and radiopharmaceuticals. Metastatic tumors both to and from the eye and the radionuclides used in the diagnosis of these tumors are described. T h e orbit and adnexae are treated in two separate sections. T h e first is concerned with the dynamic studies including measurement o f cerebral vascular flow, profusion distribution to each orbit, dacryocystography, and the dynamics of intraocular flow. T h e book concludes with a section on static studies of the orbit and
MAY, 1977
adnexae including a chapter on exophthalmos and a discussion of the use o f radioisotopes in orbital disease. T h i s book is a suitable introduction to the use o f radionuclides as experimental and diagnostic tools. T h e chapters introducing the radionuclides and the equipment are especially valuable to those w h o have not previously done radionuclide studies. T h o s e more experienced in the field may find other chapters more valuable. T h i s b o o k is a valuable resource to those doing experimental radionuclide studies as well as to those clinicians requiring the diagnostic advantage of radionuclides. KARL J . FRITZ
O p h t h a l m i c Plastic Surgery, 5th ed. B y Sidney A. F o x . New York, Grune & Stratton, Inc., 1 9 7 6 . C l o t h b o u n d , 6 6 6 pages, table of contents, author index, subject index, 5 tables, 3 5 8 black and white figures. $ 3 9 . 5 0 T h i s e n c y c l o p e d i c approach to ophthalmic plastic surgery includes descriptions o f t e c h n i q u e s and procedures not readily available from other sources. T h o u g h the b o o k is similar in outline to previous editions, a w e l c o m e addition is a chapter by Allan H. F r i e d m a n and Paul H e n k i n d c o n c e r n i n g the clinical and pathologic features of eyelid and conjunctival tumors. T h i s chapter is helpful b e c a u s e the selection of the appropriate procedure depends largely on the pathology o f the lesion. A chapter devoted to cosmetic surgery is another addition. T h e procedures described are classic surgical procedures, with emphasis on those preferred by Dr. F o x . In the preface of this edition the author states that during the last six years there has been no " r e v o l u t i o n " in eyelid repairs. However, the concept o f d e h i s c e n c e o f the aponeurosis of the levator m u s c l e in senile
BOOK REVIEWS
ceeded in doing this, but b e c a u s e of the condensation has limited the ophthalmologic audience to which such a text might b e useful. T h u s , certain differential points which aid in distinguishing one disease from another cannot b e covered adequately and variations in the fundus picture are likewise beyond the scope of this text. However, within these limitations Dr. Larsen has succeeded admirably. T h e reproductions are, on the whole, good. T h e y are usually presented six to a page with the accompanying text on the adjacent page. T h e presentation o f text and photograph keeps page-jumping to a m i n i m u m . F o r most o f the disease entities the text includes a presentation o f the clinical picture, the ophthalmoscopic findings, and the histology. Again, because of the condensation o f the text, those details that would b e of interest to the more advanced ophthalmologist are lacking. T h i s book is well worth having and is primarily r e c o m m e n d e d to those beginning their eye training, to ancillary ophthalmologic personnel, and to those physicians outside the ophthalmologic community who may need to refresh their knowledge of retinal disorders. RONALD E . CARR
Atlas o f D i s e a s e s o f t h e Anterior S e g m e n t o f the E y e , vol. 5. T h e Crystalline L e n s . B y David D . Donaldson. St. Louis, C . V. M o s b y Company, . 1 9 7 6 . C l o t h b o u n d , 2 1 0 pages, table o f - c o n tents, index, 1 2 9 black and white figures, 16 color viewer reels, compact viewer. $ 5 4 . 5 0 T h i s is the fifth, and alas the last, in the series o f atlases published by Dr. Donaldson. T h e first four were atlases of external diseases of the eye; this last vol-
763
ume is devoted entirely to the lens. T h e unifying element, however, is the fact that the entities described in all five volumes are within the range, literally and figuratively, of Dr. Donaldson's remarkable photographic talents. T h e b l a c k and white photographs interspersed throughout the text are sharp and clear and the color slides in the viewer reels are the a c m e o f stereoscopic photography; they literally " j u m p out at you." However, this book offers more than a series of splendid pictures o f cataracts. Chapter one is a s u c c i n c t resume o f the anatomy and embryology o f the lens. T h e combination of text and pictures clarifies the usually m u d d l e d classification of lens nuclei and sutures in older textbooks. Chapter two reviews abnormalities o f the lens other than cataracts and includes an excellent presentation on persistent hyperplastic primary vitreous. Chapter three is devoted to congenital cataracts and the next four chapters to acquired cataracts o f various kinds. Particular emphasis is placed on cataracts associated with systemic disease. T h e final chapter on iatrogenic surgical complications is especially appropriate in a book on cataracts. T h e material in these seven chapters is arranged in a standard pattern. A brief introductory paragraph or two describes the entity b e i n g presented, often with a black and white photograph to illustrate the text, followed by a reference to the color reels and a history of the case being illustrated. Although this book is billed as an atlas, it actually has excellent textual material that is well worth reading independently. It is authoritative and up-todate, and includes material on indications and contraindications for phacoemulsification and intraocular lenses. F i n a l l y , reviewers o f previous volumes have suggested investing in a sturdier viewer with a self-contained light source since the collapsible viewer supplied
764
AMERICAN JOURNAL O F OPHTHALMOLOGY
with the book is somewhat awkward to use. T h u s we c o m e to the end of an exhaustive pictorial review of the anterior segment in five volumes. However, one hopes that one will meet Dr. Donaldson elsewhere—in the vitreous? in the fund u s ? No matter, the site will b e attractively and excellently presented. DAVID SHOCH
N u c l e a r Ophthalmology. E d i t e d by Millard N. Croll, L u t h e r W. Brady, Paul Carmichael, and Robert J . Wallner. New York, J o h n Wiley & Sons, Inc., 1 9 7 6 . C l o t h b o u n d , 2 8 4 pages, table of contents, index, glossary, 2 7 tables, approximately 2 8 7 black and white figures. $ 2 5 T h i s book presents the proceedings o f a symposium on nuclear ophthalmology jointly sponsored by departments o f radiation therapy and nuclear m e d i c i n e and the retina service of the Wills E y e Hospital. T h e contents of the book reflect this diversified interest. A section on physical fundamentals contains a number o f definitions, imaging techniques with radionuclides, and properties of radionuclides that are available for medical use. L e s i o n s o f the uveal tract and the associated use of radionuclides in diagnosis are described from the viewpoint o f clinical experience, instrumentation, and radiopharmaceuticals. Metastatic tumors both to and from the eye and the radionuclides used in the diagnosis of these tumors are described. T h e orbit and adnexae are treated in two separate sections. T h e first is concerned with the dynamic studies including measurement o f cerebral vascular flow, profusion distribution to each orbit, dacryocystography, and the dynamics of intraocular flow. T h e book concludes with a section on static studies of the orbit and
MAY, 1977
adnexae including a chapter on exophthalmos and a discussion of the use o f radioisotopes in orbital disease. T h i s book is a suitable introduction to the use o f radionuclides as experimental and diagnostic tools. T h e chapters introducing the radionuclides and the equipment are especially valuable to those w h o have not previously done radionuclide studies. T h o s e more experienced in the field may find other chapters more valuable. T h i s b o o k is a valuable resource to those doing experimental radionuclide studies as well as to those clinicians requiring the diagnostic advantage of radionuclides. KARL J . FRITZ
O p h t h a l m i c Plastic Surgery, 5th ed. B y Sidney A. F o x . New York, Grune & Stratton, Inc., 1 9 7 6 . C l o t h b o u n d , 6 6 6 pages, table of contents, author index, subject index, 5 tables, 3 5 8 black and white figures. $ 3 9 . 5 0 T h i s e n c y c l o p e d i c approach to ophthalmic plastic surgery includes descriptions o f t e c h n i q u e s and procedures not readily available from other sources. T h o u g h the b o o k is similar in outline to previous editions, a w e l c o m e addition is a chapter by Allan H. F r i e d m a n and Paul H e n k i n d c o n c e r n i n g the clinical and pathologic features of eyelid and conjunctival tumors. T h i s chapter is helpful b e c a u s e the selection of the appropriate procedure depends largely on the pathology o f the lesion. A chapter devoted to cosmetic surgery is another addition. T h e procedures described are classic surgical procedures, with emphasis on those preferred by Dr. F o x . In the preface of this edition the author states that during the last six years there has been no " r e v o l u t i o n " in eyelid repairs. However, the concept o f d e h i s c e n c e o f the aponeurosis of the levator m u s c l e in senile