Vol. 99, No.5 Book Reviews 623

mus surgery, with respect to both technique andindications. It nicely accomplishes these goals. Thebook retains the nicely detailed and easy-to­understand illustrations from the first volume, aswell as the appealing format of having each step inthe procedure illustrated in an enlarged version,with reduced versions of the preceding and follow­ing steps in the corner of each page. This aids thereader in putting these steps in context. New materi­al not found in the first edition includes newerobservations on the normal surgical anatomy, as wellas descriptions of some of the newer surgical tech­niques including the Jensen procedure and theHarada-Ito procedure. The posterior fixation opera­tion is only mentioned, and not described in detail,nor is the use of adjustable sutures. These are twoareas in which details on surgical technique wouldhave been helpful because they require technicallydifferent steps. There are a series of flow charts thatprovide the reader with an easy-to-read, decision­oriented path to achieving orthophoria. I foundthese a pleasant addition to the first edition.

The authors clearly state that they are presentingtheir own bias for treating different strabismic condi­tions, rather than presenting and discussing alterna­tive procedures that might be advocated by otherauthorities. They claim that those who frown uponthe presentation of specific guidelines for treatingstrabismus would agree in the end that the authors'recommendations are similar to those of others. Iagree that these guidelines are generally useful forpractitioners who do not have sufficient experienceon their own to have established a system of bias. Ipersonally have a hard time with the recommenda­tion that in patients with partly accommodative eso­tropia, one should operate for most of the deviation"without spectacles." This, of course, is my bias.

Also included are reprints of several articles by theauthors 'on the treatment of certain strabismic enti­ties with different surgical procedures. It is handy tohave the original source included in the atlas. Thisbook would be a welcome addition to the library ofany ophthalmologist who does not have his own setof established guidelines for treating routine andcomplicated strabismus.

Ocular Pathology. Clinical Applications and Self­Assessment, 3rd ed. By David J. Apple and Maurice F.Rabb. St. Louis, C. V. Mosby, 1985.560 pages, index,illustrated. $115

Reviewed by J. DOUGLAS CAMERONMinneapolis, Minnesota

The intent of this textbook, according to Drs.Apple and Rabb, is to provide the second step in thestudy of ophthalmic pathology-the step betweenthe introductory monograph offered in Section 11 ofthe Academy's Basic Clinical Science Course and thelarger, more comprehensive textbooks.

This is accomplished very effectively by providingclinicopathologic correlations in the common andimportant areas of contemporary ophthalmology.Both ophthalmologists-in-training and establishedophthalmologists will find this method familiar andpleasant.

The book is a comfortable length and size. Thechapters are generally organized by types of tissue,with additional chapters covering developmentalanomalies, glaucoma, and retinoblastoma-relatedtopics.

The quality of the 887 illustrations and 123 colorplates is a major strength of the textbook. The formatvaries from line drawings to clinical photographs toreadily interpretable scanning electron micrographs.No examples of transmission electron micrographyare included. A most interesting feature is the inclu­sion of drawings from the turn of the century, payinga deserved tribute to the powers of observation andlasting contribution of many of the forefathers ofophthalmic pathology.

Each chapter is introduced with a section review­ing clinically relevant normal anatomy. Each diseaseentity discussion is an even balance between theclinical and histologic characteristics of the disease.The teaching experience of the authors is evident bytheir anticipation of and clear answers to questionscommonly asked.

Additions to the third edition include a section onthe pathology of intraocular lenses, a discussion ofcurrent questions on treating choroidal melanoma,and a self-assessment examination. The questions,patterned after the Board Examination in Ophthal­mology, are appropriately challenging, and the an­swers are clearly discussed and referenced to theoriginal chapters.

This book will be a welcome addition to the librar­ies of those interested in either clinical ophthal­mology or ophthalmic pathology and will provideknowledge applicable to the daily practice ofophthalmology.

Computer Essentials for the Ophthalmologist. Editedby Donald R. Sanders and Gerald E. Meltzer. Thoro­fare, Slack Incorporated, 1985. Softcover, 143 pages,illustrated. $24.50