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Cataract Surgery. Alternative Small-Incision Techniques
February, 1991
AMERICAN JOURNAL OF OPHTHALMOLOGY
260
or m e a s l e s ) have n o t d e v e l o p e d u l c e r s b u t c a n n o t c l o s e their e y e s p r o p e r l y . T h e m o t h e r s o f t h e s e c h i l d r e n will n e e d to l e a r n h o w to c l o s e the e y e l i d s , a n d to apply p l e n t y o f a n t i b i o t i c ointment." T h e s t r e n g t h o f this b o o k is its s i m p l i c i t y a n d b r e v i t y . It is h a r d to b e b r i e f a n d yet i n c l u d e everything one would like. Occasionally, how ever, s o m e t h i n g falls t h r o u g h the c r a c k s o f t h e s e p a g e s . For e x a m p l e , w e are n o t told that a s c a l l o p e d p u p i l is a sign of iritis in the differen tial d i a g n o s i s o f red e y e . T h e c o n s e n s u a l p u p i l lary reflex is m e n t i o n e d , but the useful a l t e r n a t e light s t i m u l a t i o n test that compares p u p i l l a r y i n p u t b e t w e e n the two e y e s is n o t d e s c r i b e d . T h i s s i m p l e a n d o b j e c t i v e test c a n b e helpful in e v a l u a t i n g a v a r i e t y of p a t h o l o g i c c o n d i t i o n s that m a y b e o b s c u r e d b y o p a q u e m e d i a , l a n g u a g e i m p e d i m e n t , or lack o f c o o p e r ation. Thousands of physicians, nurses, and techni c i a n s travel e a c h y e a r to h o t c l i m a t e s to s h a r e their e x p e r t i s e in o p h t h a l m o l o g y . 1 s t r o n g l y r e c o m m e n d this b o o k to v e t e r a n s a n d r o o k i e s a l i k e , a n d w h e n r e t u r n i n g , c o n s i d e r l e a v i n g this b o o k b e h i n d as a v a l u a b l e gift for t h o s e r e m a i n ing.
Various s u r g e o n s h a v e d e v e l o p e d n e w t r i c k s a n d t e c h n i q u e s for s m a l l - i n c i s i o n c a t a r a c t sur g e r y a n d h a v e d e s c r i b e d t h e m at m e e t i n g s . T h i s v i d e o t a p e is for o p h t h a l m o l o g i s t s w h o h a v e n o t b e e n a b l e to a t t e n d the m e e t i n g s . T h e v i d e o t a p e is well d o n e a n d i n s t r u c t i v e , a n d the i l l u s t r a t i o n s a r e well c h o s e n . E v e n t h o u g h s u c c e s s r a t e s a n d c o m p l i c a t i o n s are n o t d o c u m e n t e d in any d e t a i l a n d t h e r e is n o t m u c h i n f o r m a t i o n o n t h e effect o f the p r o c e d u r e o n the c o r n e a l e n d o t h e l i u m , this m a n u a l a n d v i d e o t a p e will e n a b l e a skillful o p h t h a l m o l o g i s t to l e a r n t h e t e c h n i q u e . T h i s t e c h n i q u e in s o m e c a s e s m a y b e s u p e r i o r to l a r g e - i n c i s i o n l e n s n u c l e u s e x p r e s sion a n d the p o c k e t t y p e o f i n c i s i o n u s e d for phacoemulsification.
The Book List Advances in Cataract Surgery. E d i t e d Cangelosi. Thorofare, Slack,
by Glen C.
I n c . , 1990.
c o v e r , 239 p a g e s , index, illustrated.
Soft-
$80
Color Atlas of Ophthalmic Surgery. Strabismus. By
Kenneth
W.
Wright.
Philadelphia,
L i p p i n c o t t , 1 9 9 0 . 261 p a g e s , i n d e x ,
J . B.
illustrated.
$125
Cataract Surgery. Alternative Small-Incision Techniques. E d i t e d b y G e o r g e W . R o z a k i s .
Cosmetic Blepharoplasty.
By Stephen
T h o r o f a r e , S l a c k , I n c . , 1990. 194 p a g e s , i n d e x .
niak. N e w York, R a v e n P r e s s , 1990.114
Illustrated. $95 ( v i d e o t a p e
index. Illustrated.
R e v i e w e d by H. E. Iowa City, Iowa
included)
KOLDER
L.
$95
Laser Surgery of the Posterior Segment. B y Steven
M. Bloom
and Alexander
J . Brucker.
P h i l a d e l p h i a , J . B . L i p p i n c o t t , 1 9 9 0 . 341
T h i s m a n u a l a n d 6 0 - m i n u t e v i d e o t a p e offer h o w - t o i n s t r u c t i o n s for c a t a r a c t e x t r a c t i o n through a small incision without phacoemulsi fication, i n c l u d i n g a d i s c u s s i o n o f " p h a c o f r a c t u r e " a n d the " p h a c o s a n d w i c h . " T h i s m a t e r i a l s t e m s from Dr. L u t h e r F r y ' s n e w ways of effi c i e n t l y r e m o v i n g e v e n the h a r d e s t l e n s n u c l e u s w i t h o u t the a d d e d c o s t s o f p h a c o e m u l s i f i c a tion, c o s t s m e a s u r e d in d u r a t i o n of s u r g e r y a n d a d d e d risk to the e y e as well a s in d o l l a r s .
Bos
pages,
index, illustrated.
pages,
$69.95
Ocular Histopathology. A Guide to Differential Diagnosis. B y C u r t i s E . M a r g o a n d H a n s E . Grossniklaus.
Philadelphia,
W.
B.
1991. 340 p a g e s , i n d e x . I l l u s t r a t e d .
Ptosis, ed. 4 . Beard.
Saunders, $89
B y Michael Callahan and Crowell
Birmingham,
Aesculapius
Publishing
C o . , 1990. 319 p a g e s , i n d e x . Illustrated.
$125
AMERICAN JOURNAL OF OPHTHALMOLOGY
260
or m e a s l e s ) have n o t d e v e l o p e d u l c e r s b u t c a n n o t c l o s e their e y e s p r o p e r l y . T h e m o t h e r s o f t h e s e c h i l d r e n will n e e d to l e a r n h o w to c l o s e the e y e l i d s , a n d to apply p l e n t y o f a n t i b i o t i c ointment." T h e s t r e n g t h o f this b o o k is its s i m p l i c i t y a n d b r e v i t y . It is h a r d to b e b r i e f a n d yet i n c l u d e everything one would like. Occasionally, how ever, s o m e t h i n g falls t h r o u g h the c r a c k s o f t h e s e p a g e s . For e x a m p l e , w e are n o t told that a s c a l l o p e d p u p i l is a sign of iritis in the differen tial d i a g n o s i s o f red e y e . T h e c o n s e n s u a l p u p i l lary reflex is m e n t i o n e d , but the useful a l t e r n a t e light s t i m u l a t i o n test that compares p u p i l l a r y i n p u t b e t w e e n the two e y e s is n o t d e s c r i b e d . T h i s s i m p l e a n d o b j e c t i v e test c a n b e helpful in e v a l u a t i n g a v a r i e t y of p a t h o l o g i c c o n d i t i o n s that m a y b e o b s c u r e d b y o p a q u e m e d i a , l a n g u a g e i m p e d i m e n t , or lack o f c o o p e r ation. Thousands of physicians, nurses, and techni c i a n s travel e a c h y e a r to h o t c l i m a t e s to s h a r e their e x p e r t i s e in o p h t h a l m o l o g y . 1 s t r o n g l y r e c o m m e n d this b o o k to v e t e r a n s a n d r o o k i e s a l i k e , a n d w h e n r e t u r n i n g , c o n s i d e r l e a v i n g this b o o k b e h i n d as a v a l u a b l e gift for t h o s e r e m a i n ing.
Various s u r g e o n s h a v e d e v e l o p e d n e w t r i c k s a n d t e c h n i q u e s for s m a l l - i n c i s i o n c a t a r a c t sur g e r y a n d h a v e d e s c r i b e d t h e m at m e e t i n g s . T h i s v i d e o t a p e is for o p h t h a l m o l o g i s t s w h o h a v e n o t b e e n a b l e to a t t e n d the m e e t i n g s . T h e v i d e o t a p e is well d o n e a n d i n s t r u c t i v e , a n d the i l l u s t r a t i o n s a r e well c h o s e n . E v e n t h o u g h s u c c e s s r a t e s a n d c o m p l i c a t i o n s are n o t d o c u m e n t e d in any d e t a i l a n d t h e r e is n o t m u c h i n f o r m a t i o n o n t h e effect o f the p r o c e d u r e o n the c o r n e a l e n d o t h e l i u m , this m a n u a l a n d v i d e o t a p e will e n a b l e a skillful o p h t h a l m o l o g i s t to l e a r n t h e t e c h n i q u e . T h i s t e c h n i q u e in s o m e c a s e s m a y b e s u p e r i o r to l a r g e - i n c i s i o n l e n s n u c l e u s e x p r e s sion a n d the p o c k e t t y p e o f i n c i s i o n u s e d for phacoemulsification.
The Book List Advances in Cataract Surgery. E d i t e d Cangelosi. Thorofare, Slack,
by Glen C.
I n c . , 1990.
c o v e r , 239 p a g e s , index, illustrated.
Soft-
$80
Color Atlas of Ophthalmic Surgery. Strabismus. By
Kenneth
W.
Wright.
Philadelphia,
L i p p i n c o t t , 1 9 9 0 . 261 p a g e s , i n d e x ,
J . B.
illustrated.
$125
Cataract Surgery. Alternative Small-Incision Techniques. E d i t e d b y G e o r g e W . R o z a k i s .
Cosmetic Blepharoplasty.
By Stephen
T h o r o f a r e , S l a c k , I n c . , 1990. 194 p a g e s , i n d e x .
niak. N e w York, R a v e n P r e s s , 1990.114
Illustrated. $95 ( v i d e o t a p e
index. Illustrated.
R e v i e w e d by H. E. Iowa City, Iowa
included)
KOLDER
L.
$95
Laser Surgery of the Posterior Segment. B y Steven
M. Bloom
and Alexander
J . Brucker.
P h i l a d e l p h i a , J . B . L i p p i n c o t t , 1 9 9 0 . 341
T h i s m a n u a l a n d 6 0 - m i n u t e v i d e o t a p e offer h o w - t o i n s t r u c t i o n s for c a t a r a c t e x t r a c t i o n through a small incision without phacoemulsi fication, i n c l u d i n g a d i s c u s s i o n o f " p h a c o f r a c t u r e " a n d the " p h a c o s a n d w i c h . " T h i s m a t e r i a l s t e m s from Dr. L u t h e r F r y ' s n e w ways of effi c i e n t l y r e m o v i n g e v e n the h a r d e s t l e n s n u c l e u s w i t h o u t the a d d e d c o s t s o f p h a c o e m u l s i f i c a tion, c o s t s m e a s u r e d in d u r a t i o n of s u r g e r y a n d a d d e d risk to the e y e as well a s in d o l l a r s .
Bos
pages,
index, illustrated.
pages,
$69.95
Ocular Histopathology. A Guide to Differential Diagnosis. B y C u r t i s E . M a r g o a n d H a n s E . Grossniklaus.
Philadelphia,
W.
B.
1991. 340 p a g e s , i n d e x . I l l u s t r a t e d .
Ptosis, ed. 4 . Beard.
Saunders, $89
B y Michael Callahan and Crowell
Birmingham,
Aesculapius
Publishing
C o . , 1990. 319 p a g e s , i n d e x . Illustrated.
$125