Atlas of Orbital Radiography

Atlas of Orbital Radiography

318 AMERICAN JOURNAL OF OPHTHALMOLOGY tions. I find the use of the term "graft reac­ tions" for any graft inflammation (except immune graft reaction...

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tions. I find the use of the term "graft reac­ tions" for any graft inflammation (except immune graft reaction), confusing, because in most of the literature "graft reaction" is synonymous with "homograft reaction." The chapters on the cornea and on intraocular in­ flammation are the most extensive. The first reflects some of Dr. Elliot's and Thomas Moore's work and the latter Dr. Aronson's extensive work in this area. In summary, this book offers a limited amount of original material which is fre­ quently controversial. My overall impression is that this book deals with an extensive and sophisticated classification of inflammatory processes in the eye as seen by the authors. In spite of their intention to help the practi­ tioner, he may find it difficult to get used to it. The book should be of interest to all resi­ dents in ophthalmology who are learning the process of ocular inflammation and the clas­ sification of these conditions. It will also ap­ peal to ophthalmologists who deal with vari­ ous aspects of ocular inflammation. Frank M. Polack By Judah Zizmor and Guido Lombardi. Birming­ ham, Alabama. Aesculapius, 1973. Clothbound, 180 pages, table of contents, index, 240 ilustrations. $25.00


In an era when ophthalmologists have been paying increasing attention to the diag­ nosis and management of orbital disease and neuro-ophthalmology, it is strange that until now no atlas has appeared that is devoted to radiology of the orbit. Those who are inter­ ested in orbital disease and have become fa­ miliar with orbit radiology are forced to take recourse in individual chapters in textbooks of neuroradiology, the radiologie literature, and various chapters in monographs of or­ bital disease. It is therefore a great pleasure to welcome this atlas which is the first at­ tempt to prépare a volume that is compre­ hensive in its approach to abnormalities of the orbit.

AUGUST, 1973

The atlas is organized in two major sec­ tions, the first being a presentation of plane films and tomograms and the second being a review of orbital radioraphy with contrast media. In the first part, chapters are devoted to specific clinical entities such as fractures and foreign bodies, as well as to specific ra­ diographie abnormalities such as abnormal calcification and abnormalities of the orbit walls. The development of our current state of knowledge of the radiography of orbital disease is placed in historical perspective in all cases. Reproduction of radiographs so the abnor­ malities are clearly visible on the printed pages is a notoriously difficult task. In gen­ eral, this task has been well done by the pub­ lishers of this book. Unfortunately, some of the illustrations appear to have been reduced in size and some have a grainy quality that makes the abnormal findings difficult to ap­ preciate. The angiograms are presented by subtraction techniques to emphasize the vas­ cular anatomy. Most of the angiograms are made with large focal-spot equipment and newer radiographie technology can reveal more details of arteries and veins than are apparent in these illustrations. The chapter on the optic canal is somewhat sparse in view of thé protean manifestations of differ­ ing processes which can influence the canal. In spite of the marginal quality of some of the radiographs, all of the chapters contain information that is useful. This book is a most welcome addition to the literature for those who are involved in management of patients with orbital disease and neuro-ophthalmic disorders. Because it does contain a preponderance of pathologic material, perhaps the opthahlmology resident would do well to precede his review of this book with an introductory chapter in a stan­ dard textbook of radiology of the skull where more detail is presented on the analy­ sis of the normal facial bones and their vari­ ation. Stephen L. Trokel