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Ocular Inflammation
Basic and Clinical Concepts.

Edited by David BenEzra

 

512 pp.
Published by Martin Dunitz, 1999

ISBN: 1853175072

Reviewed by Richard Stawell in 1999

Atlas of ophthalmic trauma

 

This is a comprehensive book of some 500 pages, which are beautifully presented and illustrated. It is divided into six sections.

The first deals with general aspects of immunology, including chapters on the regulation of ocular inflammation, inflammatory mediators and immunosuppression.

The second section deals with the investigation of chronic ocular inflammation, giving a reasonable perspective on the value of various tests. The role of polymerase chain reaction technology is put in a useful clinical perspective. Also discussed is the value of fluorescein angiography and indocyanine green angiography.

The next major subsection deals with external ocular inflammatory diseases. Diseases of the conjunctiva, cornea, sclera and orbit are all dealt with systematically. Clinical signs are described together with their pathological basis as well as specific diseases and syndromes.

Over half the book is then devoted to aspects of intraocular inflammation. This is done in a classical way with chapters on anterior, intermediate and posterior uveitis together with idiopathic retinal vasculitis. Each part is done in the same systematic way, with descriptions of clinical features, symptoms, signs, differential diagnosis, management and complications. In the section on treatment of posterior uveitis there are some useful flow diagrams illustrating treatment regimes with immunosuppressive drugs.

A comprehensive section follows on specific entities, including infectious endophthalmitis, HLAB-27 anterior uveitis, Behcet's disease, toxoplasmosis, and the ocular manifestations of AIDS, just to name a few. The AIDS chapter is well up to date and includes details on drug induced uveitis. All uveitis entities are covered in a clinically useful way.

The book concludes with a short section on optic neuritis.

In summary this is one of the most comprehensive books on inflammatory eye disease that I have seen. The standard of the layout including the clinical illustrations is excellent. It will be an extremely useful resource for all ophthalmic trainees and those interested in the field of inflammatory eye disease, as well as a very good reference for the general ophthalmologist.

Richard J Stawell
FRACS FRANZCO


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