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Wong, Vivian M.W.

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doi: 10.1097/OPX.0b013e3182805bfd
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Oxford, UK: Oxford University Press; 2012. $34.99
Oxford, UK: Oxford University Press; 2012. $34.99

Neuro-ophthalmological disorders can often be precipitated by life-threatening etiologies, and a timely diagnosis is essential to patient prognosis. However, few eye care practitioners have abundant firsthand experience in the diagnosis and management of these disorders. Therefore, a neuro-ophthalmology textbook may prove to be an invaluable reference tool to aid eye care practitioners for clinical decision making when a patient presents to the clinic with neuro-ophthalmological concerns. This concise and well-written 182-page textbook seems appropriate in this context.

It is rare to find a textbook so effective in organizing the thought process for its readers. This book is divided into five distinct sections: afferent (visual), efferent (eye movement), eyelid, pupil, and combination syndromes. Within each section, patient symptoms and clinical findings of specific neuro-ophthalmological disorders are uniquely presented using a case-based approach. Every case is then followed by the leading question, What do you do now?, which effectively engages the reader and primes the mind for learning.

Subsequent subsections that describe pathophysiology, differential diagnosis, and evidence-based treatment options for each disorder are written in a narrative fashion reminiscent of chairside consultation. The content is quite comprehensive, but a helpful list of recommended reading is also included at the conclusion of each subsection for individuals seeking a more in-depth discussion. This textbook is conducive to quick access of pertinent information and uses box summaries that list Key Points to Remember for each disorder. A number of organizational tables and black-and-white illustrations, demonstrating clinical and imaging abnormalities, are also provided for visual reinforcement of the concepts.

Additional resources may be necessary to supplement the content of this textbook depending on the level of training and clinical expertise of the reader. A reasonable background in anatomy, physiology, and analysis of imaging studies is assumed, so those who are looking for a review of these topics will not find it here. Furthermore, this textbook does not encompass the complete array of neuro-ophthalmological disorders; instead, it focuses on more common disorders.

Despite this mild inconvenience, for some readers, the authors’ goal of providing a “user-friendly manual” to simplify apparently complex neuro-ophthalmological disorders is successfully achieved. Although many resources currently exist for eye care practitioners, this textbook is a fine addition to the neuro-ophthalmology literature and an excellent chairside resource.

Vivian M.W. Wong

Bloomington, IN

© 2013 American Academy of Optometry