Pediatric Ophthalmology, 2nd ed.

Pediatric Ophthalmology, 2nd ed.

VOL. 96, NO. 1 BOOK REVIEWS with treatment of the entire trabecular meshwork, we continue to recommend initial treatment of only one half of the tra...

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VOL. 96, NO. 1


with treatment of the entire trabecular meshwork, we continue to recommend initial treatment of only one half of the trabecular meshwork. Longer follow-ups are necessary before we can compare the results in these two groups of pa­ tients, but after a period of several months we found no statistical signifi­ cance in the decreases in intraocular pressure. We still believe that it is pru­ dent to treat the least amount of trab cular tissue necessary for an acceptable result. ROBERT N. W E I N R E B ,




Dallas, Texas

BOOK REVIEWS Pédiatrie Ophthalmology, 2nd ed. Edited by Robison D. Harley. Philadelphia, W. B. S a u n d e r s C o . , 1983. Hardcover, index, 1,552 pages, 963 black and white figures, 17 color plates. Two-volume set, $175; each volume, $87.50 The continued rapid growth of the field of pédiatrie ophthalmology is exemplified by this second edition of "Pédiatrie Oph­ thalmology." The first edition, published in 1975, consisted of one volume (1,112 pages, 33 chapters) written by 46 contrib­ utors. In 1983 the text appears as a twovolume set with 1,552 pages, 37 chapters, 67 contributors, and additional illustra­ tions and color plates. Material in the first edition has been updated or revised, extra subjects are considered, and con­ tributors from centers other than the Wills Eye Hospital and St. Christopher's Hospital for Children in Philadelphia have been added. Thus, the new edition offers a broader experience, viewpoint, and perspective. Authoritative and encyclopedic cover­


age of a wide range o'f topics soon estab­ lished the first edition of "Pédiatrie Oph­ thalmology" as the best reference source in the field. The expanded and updated second edition secures this position. Volume I deals with neonatal ophthal­ mology; genetics; drugs; the ophthalmic examination; the doctor-patient relation­ ship; ultrasonography; "diagnostic imag­ ing" (radiography, angiography, comput­ ed tomography); electrodiagnostic tests of visual function; strabismus; refraction; amblyopia; disorders of the orbit, lacrimal apparatus, eyelids, conjunctiva, cor­ nea, uveal tract, lens, retina, and vitre­ ous; glaucoma; retinal and choroidal vascular abnormalities; and fluorescein angiography. Volume II contains chapters on neuroophthalmology; ocular changes in system­ ic disorders, including connective tissue diseases, infections, allergy states, nutri­ tional deficiencies, dental syndromes, genitourinary disorders, endocrine ab­ normalities, skin diseases, skeletal disor­ ders, and inborn errors of metabolism; the differential diagnosis of retinoblastoma; immunologie aspects of pédiatrie oc­ ular disease; ocular trauma, including the complications of child abuse; tumors; an­ esthesia; contact lenses; orthoptics; dys­ lexia; the visually handicapped child; op­ tical aids for subnormal vision; and emotional components in pédiatrie oph­ thalmology. It would be difficult to think of a sub­ ject in pédiatrie ophthalmology that has not been dealt with in these two volumes. The text is full of superbly informative and useful tables. Although most of the chapters are of excellent quality and have appropriate reference lists, a few stand out also because of their length. They almost represent mini-books. I refer to the sections on genetics, diseases of the cornea, retinal and choroidal vascular ab­ normalities, neuro-ophthalmology, in­ born errors of metabolism, immunologie



aspects of pédiatrie ocular diseases, and tumors of the eye, eyelids, and orbit. For the most part, I found no serious faults with this fine book. The few omis­ sions, minor errors, and possible differ­ ences of opinion will be easily recognized by the reader. I must confess that as I place this excellent new two-volume set on my bookshelf, I do not intend to remove the first edition of the book. Although a great deal of material in the new edition has been revised and new chapters and authors have been added, I find that some sections and tables in the first edition are still valuable. I suggest that the reader consider using Harley's "Pédiatrie Ophthalmology" as a threevolume set. LEONARD A P T

Computed Tomography of the Eye and Orbit. By Steven B. Hammerschlag, John R. Hesselink, and Alfred L. Weber. Norwalk, Appleton-CenturyCrofts, 1983. Hardcover, 267 pages, 480 black and white figures. $48.50 This is a concise, well written review of orbital lesions as displayed by fourthgeneration computed tomography. The computed tomograms are clear and the descriptions of the various case presenta­ tions are concise. The format is generally acceptable. This atlas should be a useful reference for the ophthalmologist, neurosurgeon, or otolaryngologist interested in orbital disease. It is a good book for residents to examine so that they can acquire a knowl­ edge of the current computed tomographic appearances of various orbital lesions. The authors should be congratu­ lated on a clear, well illustrated, concise book. J O H N S. K E N N E R D E L L

JULY, 1983

Uveitis. Pathophysiology and Therapy. Edited by Ellen Kraus-Mackiw and G. Richard O'Connor. New York, ThiemeStratton Inc., 1983. Hardcover, 245 pages, index, 51 black and white figures. $27.50 This book contains impressive contri­ butions from a distinguished group of research workers in uveitis together with experts on immunology, microbiology, and pathology. The purpose of the editors was to produce a useful overview of re­ cent experimental, immunologie, micro­ biologie, and pathologic observations in the field of intraocular inflammation^ The book is divided into seven chap­ ters, starting with the fundamentals of immunology and their application to uve­ itis. After a review of general immunobiology, Miiller-Rucholtz outlines the mech­ anisms of hypersensitivity and provides ophthalmologic examples of different hy­ persensitivity types. He then describes the immunologie characteristics of autoreactivity, including experimental mod­ els and their relevance to clinical uveitis. In the chapter on essentials of microbi­ ology in uveitis, Sonntag explains the host-defense mechanisms against infec­ tions with regard to the special situation of the eye and reasons for experimental uveitis. The main part of this chapter covers micro-organisms, animal systems, and methods used in experimental uve­ itis. In his review of endogenous uveitis, O'Connor describes different infectious and noninfectious endogenous inflamma­ tory diseases of the uveal tract. For each entity he defines the clinical characteris­ tics of the disease, pathogenesis, appro­ priate current diagnostic procedures, and future diagnostic possibilities. This well organized chapter is presented in a con­ cise, consistent, and readable style. De­ lineation of the future diagnostic possibil-