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The Pupil
902
AMERICAN JOURNAL OF OPHTHALMOLOGY
4. Garner, A.: Keratinoid cornea degeneration (climatic droplet keratopathy). Brit. J. Ophth. 51 : 299, 1972. 5. Klintworth, G. K. : Chronic actinic kerato pathy. Am. J. Path. 67:229, 1972. 6. Christensen, G. R. : Proteinaceous corneal de generation. Arch. Ophth. 89:30, 1973. 7. Brownstein, S., and Fine, B. : Elastoid degen eration. Am. J. Ophth. In press.
BOOK R E V I E W S By Keith M. Zinn. Springfield, Charles C Thomas, 1972. Clothbound, 134 pages, table of contents, index, 34 black and white figures. $8.50 The text of this manual begins with an ex position of the anatomy of the iris and of the neuroanatomical pathways which mediate the afferent and efferent control of the pupil. It then continues with the pharmacologie as pects of pupillary activity, with other factors which influence the pupils and with a chapter on the normal reflexes of the pupils. Then the author lists the various components of an ophthalmic examination and concludes with a lengthy chapter devoted to conditions which disturb the integrity of pupillary function. Finally, there are six appendices which consist of lists of (1) conditions and pharmacologie agents that affect pupillary size, (2) toxic agents that produce mydriasis or miosis, (3) autonomie effector agents, (4) developmental anomalies of the iris, (5) anomalies of the pupils, and (6) ophthalmic syndromes with altered pupils. The description of the neuroanatomical pathways is particularly well done, with sim ple line drawings to illustrate the text. The anatomy and histology of the iris are de scribed according to somewhat outdated con cepts in the light of more recent ultramicroScopic information. The section on pharmacology, although sketchy, provides a reasonable summary of the subject. However, in the discussion of the effects of cocaine in testing for sympa T H E PUPIL.
MAY, 1973
thetic denervation, the author does not men tion the much more reliable use of hydroxyamphetamine for differentiating between first, second, or third neuron denervation, or of phenylephrine to demonstrate supersensitivity. Also, in discussing the pupils in gen eral paresis and tabes dorsalis, the author states that some of these pupils are hyper sensitive to 2x/i% methacholine; whereas it is generally accepted now that hypersensitive pupils in such reported cases were probably cases of Adie's tonic pupil. The chapter that lists the steps involved in an ophthalmic examination serves no useful purpose in this manual. Several of the lists in the appendices contain much irrelevant material, a source of disturbance and confu sion for the reader. Little mention is made of the electronic pupillometer, or of the highly accurate infor mation which is obtainable in no other man ner; no reference is made to its use in the diagnosis of narcolepsy and other causes of hyper somnolence. Although this manual will prove of value as an introductory source book, it is lacking in the depth necessary for the more ad vanced student. Robert Hollenhorst
Edited by Antonio R. Gasset and Herbert E. Kaufman. St. Louis, C. V. Mosby, 1972. Clothbound, 326 pages, table of contents, index, black and white figures and color plates. $24.75 This text is the product of a symposium on soft contact lenses from the University of Florida, Gainesville, and comprises papers presented by authors from various ophthal mic disciplines who are generally recognized as experts in the contact-lens field. Virtually all phases of flexible contact-lens practice are included, from detailed descrip tions of the lens chemistry and experiments relating to the effect of soft contact lenses on corneal physiology, to the advantages and disadvantages of fitting these lenses as an SOFT CONTACT L E N S .
AMERICAN JOURNAL OF OPHTHALMOLOGY
4. Garner, A.: Keratinoid cornea degeneration (climatic droplet keratopathy). Brit. J. Ophth. 51 : 299, 1972. 5. Klintworth, G. K. : Chronic actinic kerato pathy. Am. J. Path. 67:229, 1972. 6. Christensen, G. R. : Proteinaceous corneal de generation. Arch. Ophth. 89:30, 1973. 7. Brownstein, S., and Fine, B. : Elastoid degen eration. Am. J. Ophth. In press.
BOOK R E V I E W S By Keith M. Zinn. Springfield, Charles C Thomas, 1972. Clothbound, 134 pages, table of contents, index, 34 black and white figures. $8.50 The text of this manual begins with an ex position of the anatomy of the iris and of the neuroanatomical pathways which mediate the afferent and efferent control of the pupil. It then continues with the pharmacologie as pects of pupillary activity, with other factors which influence the pupils and with a chapter on the normal reflexes of the pupils. Then the author lists the various components of an ophthalmic examination and concludes with a lengthy chapter devoted to conditions which disturb the integrity of pupillary function. Finally, there are six appendices which consist of lists of (1) conditions and pharmacologie agents that affect pupillary size, (2) toxic agents that produce mydriasis or miosis, (3) autonomie effector agents, (4) developmental anomalies of the iris, (5) anomalies of the pupils, and (6) ophthalmic syndromes with altered pupils. The description of the neuroanatomical pathways is particularly well done, with sim ple line drawings to illustrate the text. The anatomy and histology of the iris are de scribed according to somewhat outdated con cepts in the light of more recent ultramicroScopic information. The section on pharmacology, although sketchy, provides a reasonable summary of the subject. However, in the discussion of the effects of cocaine in testing for sympa T H E PUPIL.
MAY, 1973
thetic denervation, the author does not men tion the much more reliable use of hydroxyamphetamine for differentiating between first, second, or third neuron denervation, or of phenylephrine to demonstrate supersensitivity. Also, in discussing the pupils in gen eral paresis and tabes dorsalis, the author states that some of these pupils are hyper sensitive to 2x/i% methacholine; whereas it is generally accepted now that hypersensitive pupils in such reported cases were probably cases of Adie's tonic pupil. The chapter that lists the steps involved in an ophthalmic examination serves no useful purpose in this manual. Several of the lists in the appendices contain much irrelevant material, a source of disturbance and confu sion for the reader. Little mention is made of the electronic pupillometer, or of the highly accurate infor mation which is obtainable in no other man ner; no reference is made to its use in the diagnosis of narcolepsy and other causes of hyper somnolence. Although this manual will prove of value as an introductory source book, it is lacking in the depth necessary for the more ad vanced student. Robert Hollenhorst
Edited by Antonio R. Gasset and Herbert E. Kaufman. St. Louis, C. V. Mosby, 1972. Clothbound, 326 pages, table of contents, index, black and white figures and color plates. $24.75 This text is the product of a symposium on soft contact lenses from the University of Florida, Gainesville, and comprises papers presented by authors from various ophthal mic disciplines who are generally recognized as experts in the contact-lens field. Virtually all phases of flexible contact-lens practice are included, from detailed descrip tions of the lens chemistry and experiments relating to the effect of soft contact lenses on corneal physiology, to the advantages and disadvantages of fitting these lenses as an SOFT CONTACT L E N S .