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Uveitis is undoubtedly a difficult field for many ophthalmologists since there are a bewildering number of clinical entities for both anterior and posterior uveitis.
Manfried Zierhut has produced a concise text which takes the form of two small handbooks which can easily slip into the pocket of the doctor’s white coat. The aims of the text are to simplify the ophthalmologist’s approach to uveitis. In the first section of volume 1 a general overview of the clinical signs and symptoms that one might observe in uveitis is outlined. This is then followed by a fairly extensive list of the various forms of uveitis classified into infective and non-infective uveitis, autoimmune uveitis, endogenous uveitis, and uveitis associated with systemic disease. While there may be some disagreement concerning the precise classification of individual entities this handbook provides a very useful overview of a wide range of causes and presentations of uveitis and its aim of simplification of this complex field has been achieved.
Volume 2 follows the same overall plan. In the first two sections a general strategy for uveitis therapy is outlined with particular attention paid to the need to intervene, highlighted in section I.2. A novel view of the available anti-inflammatory, antibiotic, and immunosuppressive drugs is followed by a section outlining the various surgical procedures which are required for specific uveitis complications. There are some idiosyncratic inclusions here such as the inclusion of plasmapheresis in the surgical section and reference to other unusual therapies such as climatotherapy which is surely only used in very selected clinics.
The remainder of the book is an outline of the therapy for each of the conditions described in volume 1. Much reliance is placed on simple bullet point presentation with no frills and it is easy to find exactly what one is looking for. While specific therapies of discrete entities described in volume 2 represent Dr Zierhut’s management of his own patients most of the approaches fall within the mainstream of generally accepted therapeutic ideas.
These two volumes will be very useful to both the practising and the trainee ophthalmologist in this field.