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ment encountered in the various struc tures of the eye. Next there was a general description of the retinal changes encountered in hyper tensive cardiovascular disease. No at tempt was made to separate the findings in primary hypertension from those that occur in chronic nephritis, nephrosis, tox emia of pregnancy, pheochromocytoma, coarctation of the aorta, and so on. Except for demonstration of a sclerotic choroidal artery, the paper ignored the role of the choroid in the production of retinal de tachment or of Elschnig pigment spots. David Cogan's fine paper was about occlusive phenomena in the retinal vessels. Two papers were concerned with the hématologie and reticuloendothelial dis ease, followed by a paper on Crohn's disease, Whipple's disease, intestinal par asites, and peptic ulcer. Harold O. Perry and Giambattista Bietti discussed the association of derma tologie conditions with ocular disease. Both papers, the highlight of this excel lent book, are profusely and beautifully illustrated. The summary of the symposium, writ ten by Frank W. Newell, is a thoughtful and valuable evaluation of each paper, with implications for research and clini cal diagnosis. The extensive references in each sec tion are a helpful resource for the student. The index is complete and meticulously compiled. All in all, a superb book which should be in every physician's library. R O B E R T W.
OCTOBER, 1976
The proceedings of the International Glaucoma Symposium held in Albi, France in May 1974, reflect the current thinking of almost all of the world's glau coma authorities. The papers are impressive but reveal, more than any other recent summary of glaucoma, that the same problems are with us. We still don't understand the basic mechanism of the pressure eleva tion in open-angle glaucoma, medical treatment has improved little over the past decade, and the new "microsurgical" methods are probably no better than the older techniques for glaucoma surgery. An optimistic note struck in this book, however, is the tremendous effort being expended in glaucoma research to discov er better ways to help victims of the disease. Introductory chapters on the anatomy of the optic disk demonstrate the many methods of examination of the cup. The corticosteroid response of patients with open-angle glaucoma is discussed along with the use of catecholamines in the medical treatment of glaucoma. The authors seemed enthusiastic about trabeculectomy but it is obvious that the best patient care consists of tonometry, ophthalmoscopy, visual field examination, and good clinical judgment. This test represents the latest and most modern thinking in glaucoma and is a must for physicians caring for patients afflicted with a disease that remains a major cause of blindness. J. T E R R Y E R N E S T
HOLLENHORST
International Glaucoma Symposium— Albi 1974. Edited by Raymond Etienne and Gillian D. Paterson. Marseille, Dif fusion Generale de Librairie, 1975. Clothbound, 501 pages, table of con tents, index, 160 black and white fig ures, 103 color figures.
Xerophthalmia and Measles in Kenya. By J. J. M. Sauter. Groningen, The Nether lands, Drukkerij van Denderen B. V., 1976. Paperbound, 235 pages, table of contents, 5 color plates, 48 black and white figures. $10 Xerophthalmia was thought to have re treated to the impoverished rice-eating