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Oculoplastic Surgery: review 2
  1. L Dragan
  1. Yale University, USA; Irdraganhotmail.com

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    A useful new text had been added to the compendium of the oculoplastics library with the publication of this volume. The author’s intent, as stated in the preface, was to provide a pragmatic approach to diagnosis and management of patients with a myriad of oculoplastic, orbital, and lacrimal conditions. This book accomplishes the goal of broadly covering many salient topics within the field of oculoplastics.

    The author divides the book into sections on oculoplastic operative principles, eyelids, orbit issues including fractures, orbital disorders, and surgical approaches to the orbit. The extensive coverage of orbital and mid-facial fractures is particularly comprehensive. A thorough review of thyroid ophthalmology is organised separately and provides a comprehensive approach to the many issues surrounding this disease process. Epiphora, blepharoplasty, eyebrow ptosis, enucleation, evisceration, exenteration, socket reconstruction are also covered in separate sections which contain many photographs and illustrations. Complications of various surgical procedures add to the topics, but are not ubiquitously covered in equal detail in all of the sections. A section on autogenous grafts in ophthalmic plastic surgery is well presented, and of interest in that infectious concerns are causing a return to popularity of autogenous grafts.

    Many surgical photographs are accompanied by adjacent photographs of skulls nicely showing anatomy, or endoscopic photographs, which are also very illustrative. Less useful are the accompanying line drawings, many of which do not greatly clarify their accompanying surgical photographs, which are taken from some distance. At the end of each section is a reference for further reading, which would lead the reader to more in-depth information about the topics and surgical techniques discussed.

    Although this book is very thorough in covering functional oculoplastics, it does not concentrate on the many cosmetic issues in oculoplastics. Botox, use of filler material, fat repositioning, laser resurfacing, and use of the carbon dioxide laser in surgery are not covered in this text.

    Overall, this is a well thought out and nicely presented basic text on functional oculoplastics. It would complement the knowledge of residents, fellows, and the general ophthalmologist. Those beyond this level of training might find they want for more depth of information than this text offers.

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