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Ocular Surface Disease: Cornea, Conjunctiva, and Tear Film.

Szczotka-Flynn, Loretta

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Optometry and Vision Science: January 2014 - Volume 91 - Issue 1 - p e21
doi: 10.1097/OPX.0000000000000173
  • Free
Philadelphia, PA: Elsevier Saunders; 2013. $229.00
Philadelphia, PA: Elsevier Saunders; 2013. $229.00

Just published in 2013, this book includes a collaboration of authors and chapters on the most current state of understanding in ocular surface disease of the cornea, conjunctiva, and tear film. Almost 90 world-renowned ophthalmologists and other experts in the field have contributed to the 54 chapters. The text is broken into five parts: Fundamentals, Diseases of the Ocular Surface, Limbal Stem Cell Disease, Management of Severe Ocular Surface Disease, and Ocular Surface Transplantation.

I found the first six chapters of Fundamentals to be concise, yet comprehensive, reviews of the ocular surface. They present historical concepts of disease with clear schematic anatomic diagrams all the way down to the cellular level of the corneal architecture. Descriptions and photos of the newest diagnostic techniques including confocal microscopy are included. The newest classification schemes of meibomian gland dysfunction and dry eye from the International Dry Eye Workshop (DEWS) and the 2010 published International Workshop on Meibomian Gland Dysfunction are clearly outlined.

The book is devoted to classical acute and chronic diseases of the ocular surface. If the reader is looking for information on corneal dystrophies, including keratoconus, degenerations, refractive surgery, or contact lens complications, it will not be found here. The common themes in the first half of the book include diagnosis and management of dry eye, blepharitis (anterior and posterior), allergic and atopic keratoconjunctivitis, ocular surface lesions, graft-versus-host disease, neurotrophic and filamentary keratitis, and how these conditions may overlap with one another. Medications are always referred to by class/mechanism of action and chemical name rather than trade name.

The second half of the book is devoted to rarer conditions, including acquired and iatrogenic causes of limbal stem cell disease, and management of severe ocular surface diseases, including corneal transplantation under such conditions. These chapters highlight the challenges of treating such eyes and the complexities surrounding medical and surgical management of advanced disease.

Those in general, contact lens, and anterior segment practices may find the first half of the book a great addition to their shelves for an up-to-date reference on ocular surface conditions commonly presenting in practice. The second half of the book is well positioned for corneal surgeons or those training in that field. The photos and diagrams are excellent—better than most atlas types of books I have seen.

Loretta Szczotka-Flynn

Cleveland, OH

© 2014 American Academy of Optometry