Pediatric Ophthalmology and Strabismus, Second Edition; Kenneth W. Wright, MD and Peter H. Spiegel, MD, Springer-Verlag Inc., New York, 2003. ISBN: 0-387-95478-3, $250.00
Scope: This is a comprehensive textbook on pediatric ophthalmology and strabismus that represents an extensive revision of the first edition with many new chapters added. The book offers extensive illustrations and state-of-the-art tables, including a compendium of inherited diseases with ocular involvement.
The text is divided into 10 sections, each with several chapters. The first section deals with the embryology and post-natal development of the eye, including abnormalities of ocular dysgenesis. The second section describes the pediatric eye examination, the low-vision patient, and an approach to ocular trauma. An appendix to this chapter details resources for parents with children with cancer, visual impairments, and other chronic diseases. A chapter on pediatric visual electrophysiology has been excellently updated from the previous edition. The third section deals with strabismus and amblyopia and includes a new chapter on strabismus surgery. The last chapter in this section concerns optical issues; it has tips on optical prescriptions and use of prisms in children. The next four sections describe the ocular adnexa, anterior segment abnormalities, glaucoma, and retinal diseases. An extensive section discusses eye involvement in systemic disease, describing chromosomal abnormalities and various syndromes. Pediatric neuro-ophthalmology is discussed in section nine. Here, information is presented on ocular motility disorders, abnormalities of the optic nerve, cortical visual impairment, central nervous system lesions with ophthalmic manifestations, nystagmus, neuro-degenerative conditions, and cranial defects. A separate chapter has been devoted to management of common pediatric neuro-ophthalmology problems. Section 10 outlines the many inherited clinical syndromes in association with ocular abnormalities.
Strengths: The primary strength of this book is its simplicity. The foreword written by Marshall Parks, MD is fascinating and a "must read." It highlights the birth and evolution of pediatric ophthalmology from its outset. For quick and easy reference, the inside of the front cover tabulates the guidelines for planning strabismus surgery; the last section of the book nicely tabulates most clinical syndromes in pediatric ophthalmology with ocular abnormalities.
Weaknesses: Because this is a multi-authored text, there is significant redundancy of material. For example, Duane's retraction syndrome is covered under the chapter of strabismus and also under the neuro-ophthalmology section on ocular motility disorders. With rapid expansion of knowledge in genetic and molecular biology and the neurosciences, information contained in the text will rapidly become out-of-date. A third edition will be longed for.
Recommended audience: This is an excellent compendium of clinical science and pediatric ophthalmology. The book is extremely valuable for ophthalmology residents, comprehensive and pediatric ophthalmologists, and neuro-ophthalmologists.
Critical appraisal: Written by experts in the field of pediatric ophthalmology, this book provides immense information in a comfortable format.
Swaraj Bose, MD
Department of Ophthalmology; University of California, Irvine; Irvine, California