Myopia Surgery. Anterior and Posterior Segments

Myopia Surgery. Anterior and Posterior Segments

Vol. 109, No.3 the chapter, believe that all lacerated canaliculi should be repaired. The chapter on burns, which contains several case histories, sh...

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Vol. 109, No.3

the chapter, believe that all lacerated canaliculi should be repaired. The chapter on burns, which contains several case histories, should be expanded to include specific treatment guidelines. The overall quality of the text and illustrations is excellent. Each chapter has a great deal of useful information to help the physician develop a good differential diagnosis and treatment plan. The chapter on zygomatic and complex facial fractures discusses material not usually available in standard ophthalmic textbooks. This book belongs on the bookshelf of every physician treating these problems and in every ophthalmic emergency room.

Myopia Surgery. Anterior and Posterior Segments. Edited by Frank B. Thompson. New York, Macmillan Publishing Co., Inc., 1990. 338 pages, index, illustrated. $95

Reviewed by MARK J. MANNIS

Sacramento, California

Every ophthalmic surgeon is confronted with the myopic patient and must deal with the special refractive and surgical considerations that are associated with the myopic eye. This multi-authored volume is a collection of essays by well-known anterior and posterior segment surgeons. The book consists of 11 chapters divided into three sections. The first section is a single chapter that discusses the pathogenesis and pathophysiology of the myopias. The second section, consisting of seven chapters, concerns surgical therapy of myopia including radial keratotomy, epikeratophakia, lensectomy, and myopic keratomileusis. The chapters on these subjects are followed by a round-table discussion format in which the authors elaborate on some of the controversies and questions regarding these newer procedures. The final chapter in this section deals with special considerations for the ophthalmologist performing cataract surgery on the myopic individual. The third section of the book deals with posterior segment surgery in myopia and includes discussions of vitrectomy, retinal detachment surgery, and scleral reinforcement procedures in the severely myopic eye. This book is unique as a compendium of surgical approaches specifically for the myopic eye. It contains information on most of the newer refractive procedures for myopia and

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additionally provides the reader with a source of useful tips relevant to standard surgery performed on the myopic individual. The text is flawed in some ways. As a multiauthored volume it suffers from a multiplicity of styles. This is particularly evident in the second section of the book dealing primarily with refractive surgery. The reader must repeatedly ascertain whether the conclusions are based on scientific data or personal surgical experience. In general, the illustrations in the book are of good quality, and there is a large selection of photographs, diagrams, and charts. Unfortunately, the color plates dealing with a diversity of subjects are all grouped together in the middle of the book rather than being in the context of the individual chapters. These minor flaws notwithstanding, Myopia Surgery is a definite contribution to the modern ophthalmic library and will be of use to the anterior segment and refractive surgeon, the general ophthalmologist, and the posterior segment surgeon alike. It provides a convincing case for the uniqueness of myopia as a surgical problem.

Developments in Ophthalmology, vol. 20. Graves' Ophthalmopathy. Developments on Diagnostic Methods and Therapeutical Procedures. Edited by C. Renate Pickardt and Klaus Peter Boergen. Basel, Switzerland, Karger, 1989. 230 pages, index, illustrated. $130

Reviewed by STEVEN E. FELDON

Los Angeles, California

This text comprises the proceedings of the International Workshop, Homburg/San, held on Oct. 7, 1987, and documents the first interdisciplinary conference on this important subject. Original research topics are interspersed with cogent reviews on pathogenetic aspects, diagnostic procedures, medical treatment, radiotherapy, and surgical treatment. Almost all of the chapters are well written and many are also well illustrated. Beyond the acknowledgment that Graves' ophthalmopathy is an autoimmune disease closely associated with Graves' hyperthyroidism, there is little agreement regarding cause, diagnosis, or management. This apparent lack of cohesion should not be construed as a weakness, but as being consistent with the editors'