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Cataract and Lens Implant Surgery
BOOK REVIEWS Edited by H. Stanley Thompson, M.D.
is leaning toward an ophthalmic career. It would be a good addition to any teaching library, and it will be of value to the established ophthalmologist who is working in some degree of isolation, and wishes a quick reference to the techniques covered.
Cataract and Lens Implant Surgery. By J. J. Kanski and Richard B. S. Packard. New York, Churchill Livingstone, Inc., 1985. 60 pages, index, illustrated. $39
Reviewed by CHARLES DYSON London, Ontario, Canada The preface to this manual suggests that it is directed toward two different types of individuals. One is the neophyte ophthalmic microsurgeon, and the other, the experienced practitioner who wants to modify or expand combined cataract and implant surgery capabilities. Intracapsular and extracapsular extractions, lensectomies, anterior and posterior intraocular lens implantations, and combined glaucoma-cataract surgery are described in 97 pages. The text is concise, clear, systematically organized, and can be followed easily. It is profusely illustrated with color photographs of the anterior segment and a few diagrams. Many of the color illustrations are excellent; a few are dark. The surgical techniques described are confined to those used by the authors. With the trend toward extracapsular surgery in North America, the details of the intracapsular techniques may be regarded by some readers as excessive, perhaps even historical. Flexible loop posterior chamber lenses and their implantations are represented primarily by the lens design and technique of Richard Kratz. No emphasis is placed on placement within the capsule ("in the bag") or the benefits of angled haptic loops. The description of anterior chamber lenses is clear, but the types used may reflect the practice in Europe more than in North America and the wide variety of lenses now available is not described. The chapter on lensectomies provides good coverage of a highly technical procedure. This is a personalized, short, "how-to," manual. If it has a fault, it lies in the compromise between brevity and completeness of coverage. Complications and their treatment, for example, are well described, but only briefly, and recourse to other sources would be essential. It should be of interest to the first-year ophthalmology resident or senior medical studentwho
Photobiology of the Skin and Eye. Edited by Edward M. Jackson. New York, Marcel Dekker, Inc., 1986.152 pages, index, illustrated. $49.75
Reviewed by DAVID T. TSE Iowa City, Iowa Photobiology, the study of the effect of light upon biologic systems, is a branch of toxicology. Concern about the cancer risks of ultraviolet light exposure and skin tanning, and the role of light in the genesis of senile cataract has made photobiology an area of increasing clinical importance. Information in this field is evolving at an ever-increasing rate. Students of photobiology should be delighted that Dr. Jackson has brought together some of the most renowned experts in the field, providing the reader with a single source of photobiologic information and references. This volume is concerned mainly with the basic science aspects of the effects of light on the skin and the eye. The first chapter is a clear and well-illustrated overview of the complex physical and chemical principles of photobiology. Although this chapter may be somewhat difficult for the practitioner, it is well worth the effort. Chapter 2 reviews the types of phototoxic cutaneous reactions that occur in photosensitization. The discussions of light sources for phototoxicity studies and the various test methodologies are short and adequate. Chapter 3 is devoted to the concepts in photoimmunology and photoallergic skin responses. The fundamentals of cutaneous structure and function, inflammation, immunology, and allergic contact dermatitis are well reviewed. New techniques for predictive testing for photoallergic responses as well as approaches to diagnosing in 806
is leaning toward an ophthalmic career. It would be a good addition to any teaching library, and it will be of value to the established ophthalmologist who is working in some degree of isolation, and wishes a quick reference to the techniques covered.
Cataract and Lens Implant Surgery. By J. J. Kanski and Richard B. S. Packard. New York, Churchill Livingstone, Inc., 1985. 60 pages, index, illustrated. $39
Reviewed by CHARLES DYSON London, Ontario, Canada The preface to this manual suggests that it is directed toward two different types of individuals. One is the neophyte ophthalmic microsurgeon, and the other, the experienced practitioner who wants to modify or expand combined cataract and implant surgery capabilities. Intracapsular and extracapsular extractions, lensectomies, anterior and posterior intraocular lens implantations, and combined glaucoma-cataract surgery are described in 97 pages. The text is concise, clear, systematically organized, and can be followed easily. It is profusely illustrated with color photographs of the anterior segment and a few diagrams. Many of the color illustrations are excellent; a few are dark. The surgical techniques described are confined to those used by the authors. With the trend toward extracapsular surgery in North America, the details of the intracapsular techniques may be regarded by some readers as excessive, perhaps even historical. Flexible loop posterior chamber lenses and their implantations are represented primarily by the lens design and technique of Richard Kratz. No emphasis is placed on placement within the capsule ("in the bag") or the benefits of angled haptic loops. The description of anterior chamber lenses is clear, but the types used may reflect the practice in Europe more than in North America and the wide variety of lenses now available is not described. The chapter on lensectomies provides good coverage of a highly technical procedure. This is a personalized, short, "how-to," manual. If it has a fault, it lies in the compromise between brevity and completeness of coverage. Complications and their treatment, for example, are well described, but only briefly, and recourse to other sources would be essential. It should be of interest to the first-year ophthalmology resident or senior medical studentwho
Photobiology of the Skin and Eye. Edited by Edward M. Jackson. New York, Marcel Dekker, Inc., 1986.152 pages, index, illustrated. $49.75
Reviewed by DAVID T. TSE Iowa City, Iowa Photobiology, the study of the effect of light upon biologic systems, is a branch of toxicology. Concern about the cancer risks of ultraviolet light exposure and skin tanning, and the role of light in the genesis of senile cataract has made photobiology an area of increasing clinical importance. Information in this field is evolving at an ever-increasing rate. Students of photobiology should be delighted that Dr. Jackson has brought together some of the most renowned experts in the field, providing the reader with a single source of photobiologic information and references. This volume is concerned mainly with the basic science aspects of the effects of light on the skin and the eye. The first chapter is a clear and well-illustrated overview of the complex physical and chemical principles of photobiology. Although this chapter may be somewhat difficult for the practitioner, it is well worth the effort. Chapter 2 reviews the types of phototoxic cutaneous reactions that occur in photosensitization. The discussions of light sources for phototoxicity studies and the various test methodologies are short and adequate. Chapter 3 is devoted to the concepts in photoimmunology and photoallergic skin responses. The fundamentals of cutaneous structure and function, inflammation, immunology, and allergic contact dermatitis are well reviewed. New techniques for predictive testing for photoallergic responses as well as approaches to diagnosing in 806