Ocular examination, basis and technique, 2nd ed.

Ocular examination, basis and technique, 2nd ed.

SURVEY OF OPHTHALMOLOGY VOLUME 22 BOOK REVIEWS l NUMBER 4 l JANUARY-FEBRUARY 1978 STEVENM.PODOS,EDlTOR Krill’s Hereditary Retinal and Choro...

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SURVEY OF OPHTHALMOLOGY

VOLUME

22

BOOK REVIEWS

l

NUMBER

4

l

JANUARY-FEBRUARY

1978

STEVENM.PODOS,EDlTOR

Krill’s Hereditary Retinal and Choroidal Diseases, Vol. II. Clinical Characteristics, by Alex E. Krill with the special assistance of Desmond B. Archer.

Ocular Examination, Basis and Technique, 2nd ed., by Arthur H. Keeney. St. Louis, C. K Mosby, 1976, 322 pp., 200 illus. Price: $21.50.

Hagerstown, Maryland, Harper and Row, 1977, 137 1 pp., 488 figures, 8 color plates. Price: $60.00.

The second edition of this book updates the previous one, including description of a multitude of instruments and diagnostic techniques currently in use. The scope of the eye examination, its rationale and execution are the core of this book. The text is arranged in three major segments: basic principles, major disease areas, and diagnostic procedures relating to multiple disturbances. The first section provides useful suggestions for organizing an efficient office practice. Specific recommendations for office layout (patient flow as well as equipment) are valuable for residents beginning in practice, or established practitioners who may be remodeling their offices. The second section contains anatomically organized chapters which provide the neophyte with a broad spectrum of philosophical and pragmatic approaches to examining the patient. The final section introduces the complex diagnostic tools which have become a part of modern ophthalmology (ultrasonography, electroretinography, electrooculography, fluorescein angiography, etc.). Descriptions of ophthalmic instruments of almost every type currently in use, with anatomical and physiologic foundations, are contained in this volume. Obviously such a huge endeavor can only whet the appetite of the beginning ophthalmologist. To this purpose a list of additional references is included to serve as a useful scaffolding for further reading.

This is the long awaited clinical counterpart to Alex Krill’s first volume. The chapters in this superb text are logically arranged so as to classify chorioretinal pathology according to tissue layer of involvement. The book first addresses congenital hereditary functional conditions such as stationary nightblindness and dyschromatopsias. This is followed by chapters on diseases of the cones and rods, pigment epitheliopathies, Bruch’s membrane degenerations, choroidal dystrophies, vitreoretinal degenerations, optic atrophies, ganglion cell infiltration conditions, hereditary tumors and the phakomatoses. A final chapter lists and describes hereditary syndromes. Each disease entity is completely covered. The inheritance, symptoms and course, associated ocular and systemic findings, eyegrounds including fluorescein results, and retinal function studies are clearly presented. A discussion of pathology, pathogenetic mechanisms and differential diagnosis further illuminates each condition. Abundant black-and-white fundus photographs, excellent fluorescein angiographic demonstrations, multiple examples of retinal physiologic and psychophysical test results, and appropriate histopathological and electron microscopic photomicrographs supplement the text and help to put the whole picture together into a neat package. It should be apparent that I thoroughly enjoyed reviewing this book. I recommend it to any ophthalmologist at any stage of training-from resident to retinal specialist. However, a working knowledge of basic retinal physiology and principles of fluorescein angiography is necessary for comprehension of much of the material. This background can be obtained from Volume 1 of this series or from other sources. Much credit should be given to Desmond Archer, August Deutman, Frank Newell and other contributors whose assistance allowed the publication of this book after Dr. Krill’s death. This excellent authoritative text will remain a tribute to the memory of Alex Krill whose life’s work is embodied in this volume. MURRAY A. WOLKSTEIN

ARNOLD PRYWES

Eugene Wolffs Anatomy of the Eye and Orbit, 7th ed., edited by Roger Warwick, Philadelphia, W. B. Saunders, 1976, 545 pp., 467 illus. Price: $35.00 This is the seventh edition of Wolff’s Anatomy the Eye and Orbit which has been a classic in ophthalmic literature since the first edition appeared in 1933. The sixth edition of this text appeared in 1968 and the present edition contains much of the same material, but differs in the following ways. First, there has been a rather extensive revision of the bibliography to include many new and important contributions to the structure and function of ocular tissues. Secondly, older references with limited scholarly appeal have

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