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Clinical Orthoptics.

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    Clinical Orthoptics. By Fiona Rowe. Pp 288. £24.99. Oxford: Blackwell Science, 1997. ISBN 0 632 042745.

    This is a well referenced and well written short textbook which gives a basic introduction to common ocular motility disorders, sensory adaptations to strabismus, and clinical examination methods for both motility and sensory phenomena.

     The book comprises an introduction to orthoptics, a section on concomitant strabismus, and a section on incomitant strabismus and nystagmus.

    The appendix includes a glossary of terms and a series of exemplary case reports.

    This book is very much an introduction to the subject of disorders of ocular motility and how they are assessed. The preface explains that the book is “written primarily for ophthalmologists undertaking their fellowship and for orthoptic undergraduate students”. However, the ophthalmologist in training would be well advised to use this book as a useful primer and to take advantage of the fact that the book is well referenced, as a deeper understanding of the subject is probably required by those planning to take fellowship examinations in the UK.

    Although the full range of procedures for examination of eye movements are described separately, there is no section which provides a structured overall examination strategy in which the initial findings are elicited and subsequently lead onto appropriate “secondary” examination strategies which may either assist in eliciting the diagnosis or in quantifying the motor and sensory aspects of the disorder. Such a section would no doubt prove very helpful in any future edition particularly in the light of the new clinical examination section of the examinations of the Royal College of Ophthalmologists.

    In conclusion, this book provides an excellent introduction to the subject of ocular motility and its examination but it should not be used as the sole source of information because, as is acknowledged in the preface, in depth discussion is beyond the scope of a small handbook of this nature.

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