Binocular vision and ocular motility, 6th edition. Gunther K. von Noorden, MD, Emilio C. Campos, MD. St. Louis, Mosby, 2002. 672 pages. $149.00

Binocular vision and ocular motility, 6th edition. Gunther K. von Noorden, MD, Emilio C. Campos, MD. St. Louis, Mosby, 2002. 672 pages. $149.00

BOOKS, SOFTWARE, AND ELECTRONIC MEDIA EDITED BY NEIL R. MILLER, MD ● Binocular Vision and Ocular Motility, 6th edition. Gunther K. von Noorden, MD, ...

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BOOKS, SOFTWARE, AND ELECTRONIC MEDIA EDITED BY NEIL R. MILLER, MD



Binocular Vision and Ocular Motility, 6th edition. Gunther K. von Noorden, MD, Emilio C. Campos, MD. St. Louis, Mosby, 2002. 672 pages. $149.00. REVIEWED BY PATRICK Y. TONG, MD, PhD

Baltimore, Maryland

B

INOCULAR VISION AND OCULAR MOTILITY, BY DRS.

Gunter K. von Noorden and Emilio C. Campos, has been a standard reference work in its field since its first publication in 1974. The preface of the sixth edition details some of the changes from the fifth edition, but it refers to the preface of the first edition for a statement of purpose. The practicing ophthalmologists are the unintended beneficiaries, as the treatise aims to inspire the future generation of ophthalmologist toward achieving the precept of Vitruvius: He who is theoretical as well as practical is therefore doubly armed: able not only to prove the propriety of his design but equally so to carry it into execution.

How well has the book fulfilled this lofty purpose? Divided into four parts, the text provides both theory and practical take-home messages. Part one, “Physiology of the Sensorimotor Cooperation of the Eyes,” is primarily theoretical. Nonetheless, this part does contain practical information, such as helpful guidelines on measuring AC/A ratios. Part two, “Introduction to Neuromuscular Anomalies of the Eyes,” covers the basics, such as proper execution of the prism cover test; the historic, such as the use of amblyoscopes; the common, such as diplopia; and the folkloric, such as triplopia. It also has helpful hints on assessing the sensory and motor status, thorough history taking, and the sensorimotor examination. Part three, “Clinical Characteristics of Neuromuscular Anomalies of the Eye,” surveys in detail the classification, etiology, natural history, and treatment options for esotropia, exotropia, hypertropia, cyclotropia, and paralytic strabismus. This section is helpful to all, but particularly to the comprehensive ophthalmologist wish-

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ing a well-indexed reference detailing the finer points differentiating various forms of strabismus. Part four, “Principles of Therapy,” is an excellent discussion of various surgical and nonsurgical treatment approaches (refractive, chemodenervation, and recessions/resections). The illustrations of the surgical procedures are high in quality and generous in quantity, to the extent that the text actually suffices as an abridged atlas of strabismus surgery. One of the most impressive features of this relatively compact text is the breadth of information. In addition to the expected staples of a strabismus text, it includes far-ranging topics and newer concepts, such as positron emission tomographic imaging, the role of ocular torsion in cyclovertical strabismus, and the oculovestibular reflex in the development of dissociated vertical divergence. The book is nearly encyclopedic in its coverage. The only two areas not covered are the theory of synchrony of neuronal excitatory potentials in the pathophysiology of amblyopia and vessel-sparing surgery as prophylaxis against anterior segment ischemia. In contrast to many texts with a parade of authors, this book has only two, both world-renowned pediatric ophthalmologists. As a result, the text is cohesive, both in style and content. The authors advocate with conviction their preferred theories on the mechanisms of strabismus and their favored treatment options. At the end of each chapter is an excellent set of references that fully covers both the authors’ views and alternative views. The book is well balanced between the theoretical and practical. On the theoretical front, the chapters on sensory status and examination are unsurpassed. On the practical side, the seemingly trivial but frequently discussed question of whether to prescribe a full cycloplegic correction is fully answered. This text continues to be an excellent resource, both for current and future generations of ophthalmologists and strabismologists. The sixth edition, comprehensive and up-to-date, and chock-full of theoretical constructs and clinical pearls, is a scholarly treatise and a true tour de force. This is a book to be studied and enjoyed, read, and re-read.

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