Eye pain is frequently encountered in ophthalmic, neurologic, neuro-ophthalmic, and primary care practices. This symptom has a broad differential diagnosis and is frequently feared (or avoided) by clinicians. There has been a lack of resources for physicians caring for the patient with eye pain, but this extraordinarily valuable book is now filling that void. Drs. Digre and Lee, 2 seasoned neuro-ophthalmologists, have created a practical case-based guide to eye pain with the unique feature of providing perspectives from neurology and ophthalmology.
The book is divided into 4 wisely organized sections: 1) ophthalmic disorders causing eye pain: relatively normal examination (10 cases); 2) ophthalmic disorders causing eye pain: abnormal eye examination (8 cases); 3) neurologic disorders causing eye pain: relatively normal examination (15 cases); and 4) neurologic disorders causing eye pain: abnormal eye or neurologic examination (10 cases). Each case begins with a history of present illness followed by the findings on physical examination. After careful analysis of these sections, Dr. Lee offers an expert ophthalmic perspective, and Dr. Digre offers an expert neurologic perspective. The authors provide a differential diagnosis, discuss patient evaluation, and volunteer a treatment plan. Each case also includes a nonophthalmic/nonneurologic perspective, which can be very attractive to a primary care practitioner, and ends with a follow-up comment, the final diagnosis, and a short list of references. Several cases include high-quality images and well-constructed tables or figures. There is an emphasis at the end of the book on the importance of obtaining a thorough eye pain history, and a summary of the pathophysiology of eye pain is provided.
The authors took great care to include important entities causing eye pain. Their book provides an outstanding review of a wide spectrum of pathologies with an excellent representation of ophthalmic, orbital, and central nervous system disorders.
A Case-Based Guide to Eye Pain is clearly suited to serve a broad audience and is a valuable resource for clinicians who care for patients with eye pain. The tone of this book is conversational rather than overly didactic and that makes it an easy and truly enjoyable read.