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Show BOOK REVIEWS 205 features of this publication, however, is that it contains more than 600 clear, color photographs of practically every relevant retinal disorder that one would ever encounter in practice. The ophthalmologist and neuro-ophthalmologist will find the first half of the text to be most helpful in clinical practice, especially those chapters on hereditary chorioretinal dystrophies (Kenneth Noble), posterior uveitis (Alan Friedman), inflammatory choroidopathies (Lee Jampol), and retinal complications from cataract surgery (Alexander Irvine). Additionally, Drs. Elsner, Weiter, and Jalkh have submitted a terrific high-tech chapter on retinal imaging and functional evaluation, including laser scanning devices, retinal topography, and the latest on fluorescein and indocyanine green angiography. The latter half of the book is primarily concerned with laser and surgical management of a variety of retinal disorders, concluding with a chapter on Rap. Although this portion too is clear and concise and contains excellent photos, it is unlikely to be utilized much by anyone other than a retinal specialist. In short, Practical Atlas of Retinal Disease and Therapy lives up to its name and should serve as a useful reference and review text for clinical ophthalmologists and neuro-ophthalmologists. R. Michael Siatkowski, M.D. Assistant Professor of Clinical Ophthalmology Bascom Palmer Eye Institute Miami, Florida The Vestibulo-Ocular Reflex and Vertigo. By James A. Sharpe and Hugh O. Barber, editors. Raven Press, New York, 1993, 416 pp. $115.00 There are certain topics that we would all rather avoid because we know too little about them. High on the list are the vestibulo-ocular and vestibulootolithic reflexes, smooth eye movements and visual vestibular interaction, nystagmus, and vertigo. If you are in need of a lucid, painless explanation of these entities, your search is over. Sharpe and Barber's text is divided into five sections, each dealing with the above topics. Many outstanding basic scientists and clinician.s have contributed to this work-Sharpe, Hamalgyl, Zee, Fletcher, Dell'Osso, and Leigh are just a few among them. They have collaborated to produce a text that is extraordinarily clear, focused, and welldirected. It begins with an overview of the clinical anatomy and physiology of the vestibulo-ocular reflex; included in this section are pertinent clinical testing procedures by Ireland, and the effects of age and posture on the VOR, by Paige. The emphasis is well-balanced between more basic concepts such as these, and such topics as the VOR after deafferentation and high acceleration testing. In the next section, dealing with the otolithicocular reflex, we find an excellent overview by Zee and Hain, as well as good discussions on the optokinetic reflex, skew deviation, and clinical testing procedures. More advanced chapters concentrate on off-axis rotational testing, otolithic function in the face of vestibular deafferentation, and the angular and transational components of the VOK The third section contains three excellent chapters on smooth pursuit movements, the optokinetic system, and visual and voluntary control of the VOR. The penultimate section focuses on nystagmus, with complete but easy-to-understand chapters on congenital nystagmus and its variants, head-shaking nystagmus, end-point, gazeevoked, and rebound nystagmus. The discussion on the interplay between oscillopsia, the VOR, and nystagmus is excellent. The final portion of the text concerns vertigo, and contains chapters on many clinically relevant entities, including central and peripheral vertigo, vertebrobasilar ischemia, psychogenic dizziness, aging and imbalance, benign paroxysmal positional vertigo, migraine and vertigo, and Meniere's disease. There is also a wellwritten chapter on vestibular rehabilitation therapy. The Vestibula-Ocular Reflex and Vertigo fills a void in the literature, and will be beneficial to all persons involved in the diagnosis and treatment of related neuro-ophthalmologic and neuro-otologic disorders. Everyone from the resident in training to the professor emeritus will find portions of this book useful, informative, and enjoyable. R. Michael Siatkowski, M.D. Assistant Professor of Clinical Ophthalmology Bascom Palmer Eye Institute Miami, Florida Atlas of Fluorescein Angiography. By Alex E. Jalkh and Jose M. Celorio. W. B. Saunders, Philadelphia, 272 pp. $140.00 Jalkh and Celorio have intended their Atlas of Fluorescein Angiography to familiarize the ophthalmologist and retina specialist-in-training in the JClin Neuro-ophlhalmol, Vol. 13, No.3, 1993 |
