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Manual of Clinical Problems in Ophthalmology.
BOOK REVIEWS Edited by H. Stanley Thompson, M.D.
The book contains an excellent description of infantile nasolacrimal procedures, including probing, silicone tube intubation, and dacryocystorhinostomy. The chapter on blepharoptosis contains standard procedures that have been reported in other surgical texts. The congenital cataract and glaucoma surgery drawings are not detailed enough to allow the surgeon to understand clearly the limbal anatomy or the important angle structures. Color photographs of actual clinical cases or more detailed color drawings, including gonioscopically magnified views, are necessary. There is no mention of trabeculectomy, a commonly performed procedure for congenital glaucoma. The book's great advantage is that most commonly performed pediatric ophthalmology surgical procedures can be found in one volume. The procedures are accurate and the descriptions of these techniques are clearly written. As the authors mention, most of the strabismus surgical procedures have been described in detail in the Atlas of Strabismus Surgery, by Marshall Parks, published in 1983. If one does not own a strabismus or blepharoptosis surgical atlas, this volume permits easy access to the entire range of pediatric ophthalmology surgical procedures.
Atlas of Pediatric Ophthalmology. By Joseph H. Calhoun, Leonard B. Nelson, and Robison D. Harley. Philadelphia, W. B. Saunders Company, 1987. 320 pages, index, illustrated. $65
Reviewed by ARTHUR L. Los Angeles, California
ROSENBAUM
The primary goal of the authors has been to design a surgical atlas for instructing residents and fellows in the most common surgical procedures encountered during a pediatric ophthalmology rotation. Two thirds of the book is devoted to a description of strabismus surgical techniques. The last 100 pages detail nasolacrimal, blepharoptosis, and congenital cataract and glaucoma surgery. Thus, the student has all the common surgical descriptions available in one volume. The most exciting aspect of the book is the 22-page narrative in the first chapter on the indications for strabismus surgery. This text is a lucid and reasoned methodology concerning the details of strabismus surgical decision making. It has a logical structure upon which the physician can base decisions to proceed with the surgical techniques that then follow. There is an excellent description of limbal and cul-de-sac conjunctival incision techniques and several well-illustrated rectus muscle recession and resection procedures. The book contains a detailed description of superior oblique surgical operations, including plication and Harada-Ito techniques for torsional correction. There is a current description of adjustable suture procedures, although no credit is given to Dr. Arthur Jampolsky, who created this technique. The posterior fixation, "faden," and Jensen procedures are detailed. However, no other transposition procedures, such as total muscle transposition for double elevator palsy or seventh nerve palsy, are described. There is no mention of botulinum toxin injection as a treatment for strabismus alone or in conjunction with surgery and there is no section on surgical complications. The drawings are black-and-white. There are no color plates or clinical surgical photographs for comparison to the drawings, which would be helpful for beginning surgeons to appreciate tissue planes in color.
Manual of Clinical Problems in Ophthalmology. By John W. Gittinger, Jr., and George K. Asdourian. Boston, Little, Brown and Company, 1987. Softcover, spiralbound, 218 pages, index. $19.50
Reviewed by H. STANLEY THOMPSON
Iowa City, Iowa This is the latest in a large series of medical spiralbound manuals produced by Little, Brown and Co. It is indeed a manual, the kind of book that an ophthalmology resident would like to have at hand while seeing patients. Various topics in medical ophthalmology and neuro-ophthalmology are covered in 66 brief reviews. The type is small, but crisp and clear. 326
Vol. 105, No. 3
Meetings
The reviews are well organized and directed toward understanding the disease process and recognition of the chief diagnostic features. Each essay closes with a paragraph or two on modern management. I find the references particularly appealing: a short note is appended to each one, giving the reader a taste of what to expect in the review. There are ten to 20 recent references with each review, which is just enough to get the student started on the way to a deeper understanding of the subject. A spiral binding may look untidy but it allows the book to be folded back on itself or opened flat at any page. To have a manual bound this way somehow suggests that it might be used as a reference work while the reader has both hands at work on the patient. Thus, I am inclined to forgive the binding.
Books Received Highlights in Neuro-ophthalmology. Edited by S. Ishikawa, K. Mukuno, S. Uga, and J. T. W. Van Delen. Amsterdam, Aeolus Press, 1987. 265 pages, index, illustrated. $80 Thirty-five of the papers given at the International Neuro-ophthalmology Society meeting in Hakone, Japan, in June 1986 have been published in this volume. Topics include optic nerve fibers, optic neuropathy, the optic nerve head, optic nerve tumors, the retinal nerve fiber layer, evoked potentials, ocular movement abnormalities, case reports, and new therapies and examination techniques.
Meetings OCULAR MICROBIOLOGY AND IMMUNOLOGY GROUP: 22nd ANNUAL MEETING The 22nd annual meeting of the Ocular Microbiology and Immunology Group was held Nov. 7, 1987, at the Hyatt Regency Hotel in Dallas, Texas.
327
Several papers dealt with the diagnosis and treatment of endophthalmitis. G. A. Stern, J. Silberger, and Z. S. Zam described the effect of repetitive intravitreal antibiotic injections in the treatment of experimental bacterial endophthalmitis. They found that five of 26 patients with endophthalmitis did not improve with a single intravitreal injection and they suggested that repetitive intravitreal injections may be necessary to reduce the concentration of organisms. J. Baum, M. Barza, and M. Sliwkowski studied the ocular pharmacokinetics of LY146032, teicoplanin, and vancomycin in a rabbit mode of endophthalmitis. They believed it was necessary to determine the half-life of a drug in an inflammatory reaction in order to determine whether therapeutic levels are being achieved. R. L. Manka and W. H. Stern described a case of Staphylococcus aureus endophthalmitis masquerading as chronic uveitis. This low-grade postoperative inflammation, probably caused by sequestered material, continued for several months before a diagnosis was made. P. R. Pavan, C. E. Margo, and L. R. Groden described a case of granulomatous vitritis following treatment of endophthalmitis caused by a coryneform bacteria. The patient died 5V2 weeks after surgery, and foamy histiocytes similar to those seen in Whipple's disease were found in the vitreous. Corynebacterium has been implicated in the pathogenesis of Whipple's disease. R. C. Arffa and A. Eller described two cases of Listeria monocytogenes endophthalmitis. Both patients had acute iritis and hypopyon in previously normal eyes. One patient was in good health and the other had a porcine heart valve and a previous episode of bacterial sepsis. Both patients responded to systemic intravenous ampicillin but both also developed retinal detachments. A. A. Bialasiewicz, G. Koniszewski, and R. Breitbach described a 79-year-old patient who developed a recurring iridocyclitis after cataract surgery. Staphylococcus epidermidis was eventually isolated from this so-called "toxic lens" syndrome. The bacteria may have been harbored in the lens capsule. J. D. Shepard, R. A. Nozik, T. A. Friberg, S. B. Kalish, J. A. Goldsmith, and S. R. Zeiss described the role of the enzyme-linked immunosorbent assay test in the diagnosis of tuberculous uveitis. Anti-purified protein derivative antibodies in the aqueous humor may help establish a diagnosis of tuberculous uveitis in
The book contains an excellent description of infantile nasolacrimal procedures, including probing, silicone tube intubation, and dacryocystorhinostomy. The chapter on blepharoptosis contains standard procedures that have been reported in other surgical texts. The congenital cataract and glaucoma surgery drawings are not detailed enough to allow the surgeon to understand clearly the limbal anatomy or the important angle structures. Color photographs of actual clinical cases or more detailed color drawings, including gonioscopically magnified views, are necessary. There is no mention of trabeculectomy, a commonly performed procedure for congenital glaucoma. The book's great advantage is that most commonly performed pediatric ophthalmology surgical procedures can be found in one volume. The procedures are accurate and the descriptions of these techniques are clearly written. As the authors mention, most of the strabismus surgical procedures have been described in detail in the Atlas of Strabismus Surgery, by Marshall Parks, published in 1983. If one does not own a strabismus or blepharoptosis surgical atlas, this volume permits easy access to the entire range of pediatric ophthalmology surgical procedures.
Atlas of Pediatric Ophthalmology. By Joseph H. Calhoun, Leonard B. Nelson, and Robison D. Harley. Philadelphia, W. B. Saunders Company, 1987. 320 pages, index, illustrated. $65
Reviewed by ARTHUR L. Los Angeles, California
ROSENBAUM
The primary goal of the authors has been to design a surgical atlas for instructing residents and fellows in the most common surgical procedures encountered during a pediatric ophthalmology rotation. Two thirds of the book is devoted to a description of strabismus surgical techniques. The last 100 pages detail nasolacrimal, blepharoptosis, and congenital cataract and glaucoma surgery. Thus, the student has all the common surgical descriptions available in one volume. The most exciting aspect of the book is the 22-page narrative in the first chapter on the indications for strabismus surgery. This text is a lucid and reasoned methodology concerning the details of strabismus surgical decision making. It has a logical structure upon which the physician can base decisions to proceed with the surgical techniques that then follow. There is an excellent description of limbal and cul-de-sac conjunctival incision techniques and several well-illustrated rectus muscle recession and resection procedures. The book contains a detailed description of superior oblique surgical operations, including plication and Harada-Ito techniques for torsional correction. There is a current description of adjustable suture procedures, although no credit is given to Dr. Arthur Jampolsky, who created this technique. The posterior fixation, "faden," and Jensen procedures are detailed. However, no other transposition procedures, such as total muscle transposition for double elevator palsy or seventh nerve palsy, are described. There is no mention of botulinum toxin injection as a treatment for strabismus alone or in conjunction with surgery and there is no section on surgical complications. The drawings are black-and-white. There are no color plates or clinical surgical photographs for comparison to the drawings, which would be helpful for beginning surgeons to appreciate tissue planes in color.
Manual of Clinical Problems in Ophthalmology. By John W. Gittinger, Jr., and George K. Asdourian. Boston, Little, Brown and Company, 1987. Softcover, spiralbound, 218 pages, index. $19.50
Reviewed by H. STANLEY THOMPSON
Iowa City, Iowa This is the latest in a large series of medical spiralbound manuals produced by Little, Brown and Co. It is indeed a manual, the kind of book that an ophthalmology resident would like to have at hand while seeing patients. Various topics in medical ophthalmology and neuro-ophthalmology are covered in 66 brief reviews. The type is small, but crisp and clear. 326
Vol. 105, No. 3
Meetings
The reviews are well organized and directed toward understanding the disease process and recognition of the chief diagnostic features. Each essay closes with a paragraph or two on modern management. I find the references particularly appealing: a short note is appended to each one, giving the reader a taste of what to expect in the review. There are ten to 20 recent references with each review, which is just enough to get the student started on the way to a deeper understanding of the subject. A spiral binding may look untidy but it allows the book to be folded back on itself or opened flat at any page. To have a manual bound this way somehow suggests that it might be used as a reference work while the reader has both hands at work on the patient. Thus, I am inclined to forgive the binding.
Books Received Highlights in Neuro-ophthalmology. Edited by S. Ishikawa, K. Mukuno, S. Uga, and J. T. W. Van Delen. Amsterdam, Aeolus Press, 1987. 265 pages, index, illustrated. $80 Thirty-five of the papers given at the International Neuro-ophthalmology Society meeting in Hakone, Japan, in June 1986 have been published in this volume. Topics include optic nerve fibers, optic neuropathy, the optic nerve head, optic nerve tumors, the retinal nerve fiber layer, evoked potentials, ocular movement abnormalities, case reports, and new therapies and examination techniques.
Meetings OCULAR MICROBIOLOGY AND IMMUNOLOGY GROUP: 22nd ANNUAL MEETING The 22nd annual meeting of the Ocular Microbiology and Immunology Group was held Nov. 7, 1987, at the Hyatt Regency Hotel in Dallas, Texas.
327
Several papers dealt with the diagnosis and treatment of endophthalmitis. G. A. Stern, J. Silberger, and Z. S. Zam described the effect of repetitive intravitreal antibiotic injections in the treatment of experimental bacterial endophthalmitis. They found that five of 26 patients with endophthalmitis did not improve with a single intravitreal injection and they suggested that repetitive intravitreal injections may be necessary to reduce the concentration of organisms. J. Baum, M. Barza, and M. Sliwkowski studied the ocular pharmacokinetics of LY146032, teicoplanin, and vancomycin in a rabbit mode of endophthalmitis. They believed it was necessary to determine the half-life of a drug in an inflammatory reaction in order to determine whether therapeutic levels are being achieved. R. L. Manka and W. H. Stern described a case of Staphylococcus aureus endophthalmitis masquerading as chronic uveitis. This low-grade postoperative inflammation, probably caused by sequestered material, continued for several months before a diagnosis was made. P. R. Pavan, C. E. Margo, and L. R. Groden described a case of granulomatous vitritis following treatment of endophthalmitis caused by a coryneform bacteria. The patient died 5V2 weeks after surgery, and foamy histiocytes similar to those seen in Whipple's disease were found in the vitreous. Corynebacterium has been implicated in the pathogenesis of Whipple's disease. R. C. Arffa and A. Eller described two cases of Listeria monocytogenes endophthalmitis. Both patients had acute iritis and hypopyon in previously normal eyes. One patient was in good health and the other had a porcine heart valve and a previous episode of bacterial sepsis. Both patients responded to systemic intravenous ampicillin but both also developed retinal detachments. A. A. Bialasiewicz, G. Koniszewski, and R. Breitbach described a 79-year-old patient who developed a recurring iridocyclitis after cataract surgery. Staphylococcus epidermidis was eventually isolated from this so-called "toxic lens" syndrome. The bacteria may have been harbored in the lens capsule. J. D. Shepard, R. A. Nozik, T. A. Friberg, S. B. Kalish, J. A. Goldsmith, and S. R. Zeiss described the role of the enzyme-linked immunosorbent assay test in the diagnosis of tuberculous uveitis. Anti-purified protein derivative antibodies in the aqueous humor may help establish a diagnosis of tuberculous uveitis in