Manual of endoscopic lacrimal and orbital surgery

were not included in the chapter and data from the Japanese trial is limited in this review. The preliminary results of a large open experience with interferon-␣2a by Ko¨ tter is presented in the book, but has subsequently been published (Br J Ophthalmology, 2003) and a controlled study is now underway. The epidemiology of Behc¸ et’s disease is presented in detail and the non-ocular clinical manifestations of the disease are also well reviewed, based on large series of patients from Iran, Japan and other countries. In both sections, differences in disease manifestations in different populations might possibly be explained by methodological differences and diagnostic criteria, but are otherwise unexplained. The chapter on immunopathology relies heavily on previous reviews. The section on the treatment of Behc¸ et’s also largely relies on a review of controlled studies through 1998 and is largely limited to the treatment of uveitis. Controlled treatment studies of other manifestations in this disease are limited, but I would like to have seen an expanded review of the treatment of non-ocular disease, including the most recent studies and consensus opinion. The authors do point out that the treatment of Behc¸ et’s is “empirical” and may differ widely, depending on the experience of practitioners in different countries. This book should be of interest to ophthalmologists with an interest in uveitis, rheumatologists, and immunologists. It nicely summarizes the state of the art and aptly anticipates future developments sure to come. Manual of Endoscopic Lacrimal and Orbital Surgery John J. Woog. Butterworth-Heinemann: Philadelphia, PA; 2004. 206 pages $ 99.00 USD ISBN 0-7506-7326-5 Media type: Textbook and CD-ROM Reviewed by James R. Patrinely, MD, FACS; Houston, TX Synopsis: This detailed multimedia resource is an excellent new surgical manual on common endoscopic techniques in oculoplastic and orbital surgery. Target Audience: Ophthalmic plastic surgeons and fellows, otolaryngology residents, fellows and staff There are a handful of important techniques in oculoplastic and orbital surgery that lend themselves to an endoscopic approach. These include dacryocystorhinostomy (either primary or secondary), Jones tube placement, lacrimal intubation and dilation, orbital decompression, selected fracture repairs, optic canal decompression and some deep orbital apex biopsies. Surprisingly few educational resources have targeted this surgical subset in a comprehensive manner. Dr. Woog and a group of highly esteemed collaborators have produced an excellent multimedia surgical manual that covers in depth all but the latter two procedures. Endoscopic techniques are difficult to teach and illustrate in a standard textbook without extremely high quality color photographs and detailed corresponding surgical artwork. While this book is well illustrated with numerous black and white photos and excellent line diagrams this manual best accomplishes its goal by using an accompanying CD-ROM with video clips and a detailed user friendly text that explains the nuances of the techniques and specific instruments used. The first half of the book covers basic orbital anatomy, evaluation and management of the lacrimal and Graves’ orbitopathy patients, radiology, and review of standard external DCR. The anatomy section does not specifically cover topographical anatomy as seen by the endoscope but this is addressed by excellent line artwork in the surgical technique sections later in the book. The second half of the book covers the surgical techniques in detail. The editor wisely includes other surgeons’ perspectives and techniques on endoscopic DCR so the reader can pick and choose different aspects they may find helpful. It wasn’t clear why the CDCR with Jones tube placement wasn’t done entirely endoscopically rather than using a transcaruncular open approach while other authors in the book describe removing the anterior lacrimal crest endonasally. Other procedures described are not stand alone endoscopic approaches either but more “endoscopic-assisted” such as the fracture repair and balloon dacryoplasty which is fine since the endoscope can be a powerful enhancer to traditional approaches and need not totally replace these procedures. Overall Dr. Woog and his associates have assembled a very useful and needed multimedia resource on endoscopic lacrimal and orbital techniques that will be appreciated by surgeons of all experience levels.