Ultrasonography of the Eye and Orbit, 2nd Edition
D. Jackson Coleman, MD, FACS, Ronald H. Silverman, PhD, Frederic L. Lizzi, EngScD, Mark J. Rondeau, Harriet Lloyd, MS, Dan Z. Reinstein, MD, FRCSC, DABO, and Suzanne W. Daly, BSN, RDMS, CRNO. Lippincott Williams & Wilkins, Philadelphia, 2006. ISBN 0-7817-4650-7, $199.00.
Scope: The second edition of this multi-authored ultrasound text is the long-awaited update to the authoritative reference that was first published in 1977. Although CT and MRI are the mainstays of orbital investigations, the text illustrates that adjunctive information and follow up can be obtained through ultrasound.
Strengths: The physics of ultrasound is presented in a readable fashion. The text clearly delineates the usefulness, reliability, and limitations of orbital ultrasonography. The book reviews newer ultrasound technologies such as power spectrum analysis, three-dimensional scans, very-high-frequency ultrasonic biomicroscopy, color Doppler imaging, and swept scans. Synopsis tables summarize important clinical information. The figures are of high quality, and the narrated dynamic ultrasound images on the accompanying DVD add use.
Weaknesses: Neuro-ophthalmologists would appreciate a separate chapter on color Doppler imaging and further ultrasound demonstrations of dysthyroid orbitopathy, orbital inflammatory syndrome, and arteriovenous fistulas. The text has few illustrations comparing the Ultrasound Biomicroscope (Zeiss-Humphrey Instruments, San Leandro, CA) with the anterior segment images obtained from the Artemis VHF ultrasound unit (Ultralink LLC, St. Petersburg FL). Migrated punctal plugs are an increasingly recognized problem and ultrasonic examples of this would be welcome.
Recommended Audience: The text is highly recommended as a general reference for all ophthalmologists and for neuro-ophthalmologists with an interest in orbital disease.
Critical Appraisal: The authors are well-published in the field of ultrasonography. The second edition of their ultrasonography text will be recognized as a benchmark reference.
Edsel Ing, MD, FRCSC
University of Toronto, Toronto, Ontario, Canada