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Archives of Ophthalmology | 1984

Color and Fluorescein Angiographic Atlas of Retinal Vascular Disorders

William F. Hughes

This magnificent atlas has the praise of the authors former teacher, Arnall Patz, especially for the sections on arterial and venous insufficiency and cystoid macular edema. In addition to these, various chapters consider neovascularization, telangiectasis, aneurysm, vascular tumors, collateral shunts and tortuosity, and miscellaneous conditions. The first chapter on nomenclature and principles of fluorescein angiography and introductions to other chapters are illustrated by simplified and rather dramatic paintings by Amalie Dunker. The fundus photographs in color, red-free light, and fluorescein angiograms by David Baczewski are of excellent quality. This atlas is largely a compilation of cases illustrative of the various conditions, most of which have brief histories. Except for descriptions of the fundus photographs and accompanying angiograms, there is relatively little text and no statistics. A large bibliography follows each section. The author stresses the prognostic importance of detecting neovascularization whose capillaries lack tight junctions and leak fluorescein, and


Archives of Ophthalmology | 1984

Clinical Ophthalmology, a Text and Colour Atlas

William F. Hughes

This is an atlas of selected ocular conditions with general outlines of diagnosis, including many photographs in color, and methods of treatment, neither of which contain specifics. One might quarrel withsome of the material selected, and with a few of the recommendations. The book is intended to aid the optometrist and perhaps many general medical practitioners in diagnosing certain ocular abnormalities, and to point out various avenues of treatment available to the ophthalmologist.


Archives of Ophthalmology | 1984

The Cornea: Scientific Foundations and Clinical Practice

William F. Hughes

This book is dedicated to Phillips Thygeson, MD, of the Francis I. Proctor Foundation at the University of California in San Francisco, and Claes Henrik Dohlman, MD, of the Howe Laboratory and Massachusetts Eye and Ear Infirmary, Boston, who were the mentors of the two authors, respectively. The 32 contributors from the faculties of the two institutions and their former trainees have been active in corneal research and diseases. Their contributions are outstanding in historical background, current scientific information, and clinical aspects of corneal diseases and their treatment. The literature cited is complete, the illustrations numerous and excellent, and the many tables extremely helpful. The two editors have maintained the highest standard of integration and presentation of the many aspects. This textbook is a must for both investigators of corneal physiology and pathology and for clinical ophthalmologists. Not only is it easily readable, but also represents a reference work for


Archives of Ophthalmology | 1984

Complications in Ophthalmic Surgery

William F. Hughes

This book has 19 chapters by different authors, many of them with past or present association with the Wilmer Ophthalmological Institute, Baltimore, concerning the prevention and/ or management of complications following modern ocular surgery. The first chapter on complications of anesthesia by Jay Jacoby, professor and chairman of the Department of Anesthesiology, Jefferson Medical College, Philadelphia, should certainly dissuade an ophthalmic surgeon from using general anesthesia unless necessary, and with an MD anesthesiologist. Many of the other chapters include a discussion of new complications related to the new techniques. Bibliographies are ample in most chapters. Various aspects of ophthalmology have become so specialized that several complicated surgical techniques are usually relegated to the subspecialist. This book would be of little value to such a subspecialist, or to an ophthalmologist who does not perform these operations. Some of the presentations are elementary (eg, surgical anatomy and some techniques), are too general


Archives of Ophthalmology | 1984

Management of Retinal Vascular and Macular Diseases

William F. Hughes

The material in this book was presented in preliminary form by 42 contributors who are or were associated with the Wilmer Retinal Vascular Center, Baltimore, to celebrate the tenth anniversary of this specialty clinic in 1980. Tribute was paid to Arnall Patz, who pioneered many of the studies of retinal vascular disease, including the etiologic importance of oxygen in the production of retrolental fibroplasia in premature infants. This group was active in the clinical Diabetic Retinopathy Study supported by the National Eye Institute to evaluate the effects of photocoagulation, and in the present studies on early treatment of diabetic retinopathy, and the retinal angiogenesis related especially to senile macular degeneration and ocular histoplasmosis. In a summary chapter, Patz presents the evidence supporting the current belief that closure of retinal vessels produces ischemia with liberation of an angiogenic factor. Resulting neovascularization produces edema or hemorrhage, often with secondary glial proliferation. Photocoagulation


Archives of Ophthalmology | 1983

Ophthalmology: Principles and Concepts

William F. Hughes

This new edition of a general textbook of ophthalmology, published four years after the previous edition, attests to its value and acceptance. Because of the vast amount of basic and new information in ophthalmology, there are few such textbooks written by a single author. In the preface, Newell acknowledges one solution to this problem, namely, to have his residents in ophthalmology read over assigned portions of the previous edition to suggest revision or additions. The general format and sections of the previous edition are retained, and there are 68 fewer pages and 140 fewer black and white illustrations. There has been a general condensation, with less space devoted to anatomy, embryology, basic mechanisms, uvea, and retina. The many elaborate tables and diagnostic charts of the previous edition are retained. The underlying basic science aspects of ocular physiology, pharmacology, and disease are particularly outstanding, eg, hereditary disorders and endocrine diseases. Many


Archives of Ophthalmology | 1983

A Manual of Systematic Eyelid Surgery

William F. Hughes

This cookbook of lid surgery has been used at the Moorfields Eye Hospital, London, successfully, and it considers surgical anatomy (briefly), entropion and trichiasis, ectropion, ptosis, tumor excision and lid reconstruction, socket surgery, corneal protection, and cosmetic surgery. Flow charts show the variations in the abnormalities and the recommended treatment of each. The principles, indications, and techniques of the operations are described, the last being illustrated by line drawings without shadings, which makes interpretation more difficult. The ophthalmic plastic surgeon will find this book of little use. However, the ophthalmic surgeon or resident in training, both of whom perform simple plastic procedures on the lids occasionally, should find this systematized, didactic presentation helpful, especially in deciding which operation to perform for each variant of the abnormality.


Archives of Ophthalmology | 1983

OncoLOGIC: Tumors of the Eye and Ocular Adnexae

William F. Hughes

This book, the 16th volume of OncoLOGIC: Multidisciplinary Decisions in Oncology , was written by a radiologist and ophthalmologist as a study guide to enable the reader to examine his decision-making ability in the management of ocular and adnexal tumors. By sending in his answers for grading, he can be awarded 15 hours of category 1 continuing medical education credit. Many of the tables in this volume, reproduced from the literature, concern the clinical characteristics and prognosis following various types of treatment. The text is typewritten and reproduced on poor paper, making the illustrations poor in quality and somewhat inadequate in labeling and legends. The ultimate in useless illustrations is Fig 122, a line drawing showing a doctor talking to a patient. Flow sheets on management are not helpful. One might quarrel with some of the recommendations that are heavily weighted toward irradiation, eg, radiation therapy for metastatic cancer to


Archives of Ophthalmology | 1983

Orthoptics and Ocular Examination Techniques

William F. Hughes

This book is the outgrowth of the Basic Science Course in Orthoptics , originated by the American Orthoptic Council in 1953, and later expanded to include general ophthalmic assistants. This course has been given at the University of Iowa (where the three editors reside) for 18 years. Of the 34 contributors, 18 are MDs. Except for the chapters on visual optics by Paul Boeder and on genetics by G. Frank Judisch, this book is a practical manual for the ophthalmic paramedic with much of the material in outline form. Strabismus and orthoptics take up less than one third of the book. The numerous illustrations include most ophthalmic instruments. Fifty-seven pages are devoted to basic science, 45 pages to glaucoma, external diseases, and strabismus in systemic diseases, and 21 pages to discussion of the pupil, nystagmus, and dyslexia. This book would seem to be a faithful record of The Basic Science Course


Archives of Ophthalmology | 1983

Introduction to Ophthalmology

William F. Hughes

The first edition of this book for medical students published in 1978 apparently accomplished its purpose, ie, to present basic information on the anatomy and physiology of the eye, discuss techniques of ocular examination that the medical student should be able to perform, and describe common ocular diseases that the nonophthalmologist should recognize and either treat or refer to an ophthalmologist. The 86 pages devoted to visual physiology are perhaps unduly extensive and are almost sufficient for an ophthalmologist. This represents the major change from the first edition, but otherwise only minor additions or changes are made regarding contact lenses, intraocular lenses, vitrectomy, retinal vascular occlusion, and glaucoma. The black and white illustrations are remarkably good, including even those conditions where color would have been better. The text is well organized and readable. Some textbooks for medical students and nonophthalmologists err in mentioning or tabulating unusual ocular conditions, do

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Arthur Hurt

University of Southern California

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