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The author of this book is an Associate Professor of Ophthalmology at Damascus University and it is obvious from this book that Professor Sinjab has a strong interest in keratoconus. Damascus University is the oldest university in Syria founded in 1903, when the Ottoman Empire still occupied Syria, and medicine was one of its founding schools. The book has four sections. The first is devoted to the diagnosis of keratoconus; the second looks at the classification and patterns of keratoconus and keratoectasia; the third deals with the management of keratoconus; and the final section consists of a number of case studies that involve different strategies for diagnosing and managing keratoconus.

This book has some appealing features. The chapter on diagnosis of keratoconus is quite good and includes discussions on both corneal hysteresis and confocal microscopy, which are areas that are becoming increasingly important in both the understanding and management of this corneal condition. The section on classification of keratoconus is helpful with the author using corneal topographic maps to distinguish between the different forms of keratoconus (that is, globus, oval and nipple cones). In addition, this chapter has a very good discussion on the differences between keratoconus and pellucid marginal degeneration, which I think many clinicians would appreciate, as these two conditions are very similar and often confused with each other.

Unfortunately, there are also some flaws with this book. There are many grammatical errors throughout the text, as well as in the title! The section on management of keratoconus is poor. For example, there is less than one page devoted to the contact lens management of keratoconus, which—needless to say—is grossly inadequate given the importance of this area and the fact that the majority of people with keratoconus are reliant on this mode of correction for their visual rehabilitation. This chapter also includes a fairly lengthy piece on the use of intraocular refractive lenses for managing keratoconus. Unfortunately, there is very little discussion in this section on the merits of spherical versus toric intraocular lenses, which is disappointing given that the use of the latter can often be quite problematic in keratoconus due to the irregular nature of the corneal profile.

The idea of using case studies to illustrate management and diagnostic strategies for a particular condition is always a good idea; however, I found the case studies in this book—there are nine presented in the final chapter—to be quite repetitive and not really very helpful. In addition, where there were topics of interest raised by a particular case study (for example, progression of keratoconus during pregnancy), I believe they would have been better dealt with by having the appropriate discussion in the earlier sections on diagnosis and management.

Overall, it is hard to recommend the purchase of this book, especially to clinicians who manage keratoconus on a regular basis, due to the poor attention paid to important areas, such as contact lens management of keratoconus. Even for those practitioners who are more concerned with the surgical management of keratoconus, I would argue that the detail covered in this book would not be extensive enough to really justify them having this book sitting on the shelf in their consulting room.