BOOK
REVIEWS
Edited by H. Stanley Thompson, M.D.
These reference boxes alone offer the resident and experienced ophthalmologist alike sound practical clinical guidelines that assure this book will not gather dust on the practitioner's shelf after its initial perusal. Perhaps the greatest strength of the book is in its personal approach, its offering of concrete schemes detailing the authors' approaches to the management of complex clinical problems. Although the reader may not agree with every opinion expressed, the firm and practical recommendations give the reader a sound foundation for diagnosis and management. The inclusion of sections on general principles of glaucoma diagnosis, of glaucoma management, of pharmacology, and of laser or surgical care, greatly enhances the quality of the work and places these modalities in clinical perspective. These practical guides for the beginning and practicing ophthalmologist will stand the test of time even after some of the specific considerations of the subsequent chapters are rendered obsolete by new discoveries. Hoskins and Kass have more than met their task. This text should be one of the first obtained by every beginning ophthalmic resident. It will serve nobly and securely as a ready reference of both academic and practical clinical material for ophthalmologists at every level of training.
Becker-Shaffer's Diagnosis and Therapy of the Glaucomas. By H. Dunbar Hoskins, Jr., and Michael A. Kass. S1. Louis, C. V. Mosby, 1989. 678 pages, index, illustrated. $85
Reviewed by E. MICHAEL VAN BUSKIRK Portland, Oregon Drs. Hoskins and Kass faced a significant challenge, to revise one of the most respected traditions in ophthalmology, "Becker-Shaffer's Diagnosis and Therapy of the Glaucomas." Students of Drs. Becker and Shaffer, the original authors, as well as of the subsequent editors, Drs. Kolker and Hetherington, Drs. Hoskins and Kass are more than qualified to build upon the accomplishments of their predecessors. Their results exceed our highest expectations. The text, limited to a single volume, covers the spectrum of diagnostic methodology including examination of the chamber angle and a newly authoritative and updated section on examination of the optic disk and perimetry. The differential diagnosis of the varieties of glaucoma adheres to the same anatomic classification system used in the previous editions, primary vs secondary and closed angle vs open angle, a system founded in the tradition of the text but disparate from the more clinically oriented classification used in other texts. All of the sections have been updated with the latest considerations of pathophysiology and treatment modalities and they are academically well referenced. The text skillfully blends the scholarly with the practical, combining penetrating discussions of pathophysiology and clinical features with practical guidelines for appropriate management. The many illustrations, mainly black and white, are exceptionally high quality. The serious student will find a complete bibliography of both current and historically important references following each chapter. Among the most appealing new aspects of the book are the summarizations in boxed forms whenever possible. The text is loaded with very useful tables of differential diagnosis and logical systems for management, which provide quick reference for a sound and specific clinical approach to problems of glaucoma.
Uveitis. A Clinical Approach to Diagnosis and Management, ed. 2. By Robert E. Smith and Robert A. Nozik. Baltimore, Williams and Wilkins, 1989.266 pages, index, illustrated. $81.95
Reviewed by GARY N. HOLLAND Los Angeles, California Since it was first published in 1983, I have recommended Smith and Nozik's textbook as a useful reference for clinicians faced with the challenging evaluation and management of uveitis cases. To keep abreast of developments in this rapidly changing field, the authors have completed an updated, second edition. As with 688