Intraocular Lens Complications and Their Management

Intraocular Lens Complications and Their Management

574 AMERICAN JOURNAL OF OPHTHALMOLOGY ment of 641 orbital tumors. The book is well organized, succinct, and supplemented by an extensive bibliograph...

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574

AMERICAN JOURNAL OF OPHTHALMOLOGY

ment of 641 orbital tumors. The book is well organized, succinct, and supplemented by an extensive bibliography. The photographs and illustrations are superb and add to the enjoyment of reading this book. There have been similar books on this subject, but this text has the advantage of being more up-to-date on the use of computed tomography and magnetic resonance imaging in the evaluation and management of orbital tumors. In chapter 3, Dr. Shields offers a valuable analysis of 645 orbital biopsy specimens. He classifies these lesions into cystic, vascular, peripheral nerve, optic nerve, meningioma, myxomatous, and adipose masses. He also classifies 83 lacrimal fossa lesions. This chapter was enlightening, and it should provide the reader with an excellent viewpoint on the prevalence of the various types of orbital masses. The chapter on cystic lesions of the orbit is remarkably thorough. The book does have some minor shortcomings. The chapter on orbital inflammatory disorders has sparse information on important subjects such as thyroid orbitopathy and inflammatory pesudotumors. Dr. Shields indicates that the focus of this book is on orbital tumors, and therefore these inflammatory conditions are not emphasized. However, thyroid ophthalmopathy and orbital pesudotumors are probably the most common orbital problems encountered, and thus the reader may get an unrealistic perspective on orbital disease. The subjects of lymphoid tumors and lacrimal gland tumors are placed toward the end of the book even though their incidences are higher than those of tumors discussed in the initial sections. Additionally, the techniques for performing needle biopsies and orbital surgery could have been more detailed. There is no mention of securing the removed lateral orbital rim with sutures, and many orbital surgeons would favor a suction drain after lateral orbitotomies rather than the proposed Penrose drain. Although computed tomographic scans are emphasized, there is no mention of the increased use of infused contrast material, bony windows, or dynamic studies. Overall, this is a well-written, wellorganized, and well-illustrated book that comprehensively covers the subject of orbital masses. The text is highly recommended to any

May, 1989

physician who treats patients with orbital masses or wishes to learn more about the subject.

Intraocular Lens Complications and Their Management. By S. Gregory Smith and Richard L. Lindstrom. Thorofare, New Jersey, Slack, Inc., 1988. 208 pages, index, illustrated. $60

Reviewed by HANSJOERG E. KOLDER Iowa City, Iowa Drawing on more than 600 references and extensive personal experience, the authors present a synopsis of complications that originate from intraocular lens implantation. The book has ten chapters progressing from cornea to retina and six more chapters on special topics including cystoid macular edema, glare, and decreased visual acuity. Seven color plates, numerous black and white photographs, and line drawings of surgical steps enhance the text together with tables summarizing results and incidences of complications. A series of well-balanced suggestions on management based on the authors' personal experience is particularly useful. The chapters on cornea, anterior chamber, and iris are outstanding and reflect the authors' particular interest. To compress the wealth of publications on intraocular lenses into a book of 208 pages requires considerable effort. Not all references have been critically evaluated, which is troublesome because many references are to articles in journals not readily available in medical libraries. The bibliographic quotations are used inconsistently, often omitting the page numbers. Pressure to publish the book may have prevented careful proofreading since obvious typographical errors have also gone uncorrected. The volume will serve as a reference to the recent English language literature on intraocular lenses. Clinicians and residents will benefit from the unpretentiously interwoven personal experience of the authors. The book's potential appeal to a larger audience awaits a second edition correcting the technical shortcomings.