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Andrew G. Lee and Paul W. Brazis Clinical Pathways in Neuro-Ophthalmology. An Evidence-Based Approach 2nd edition 485 pages Thieme Publishing, Stuttgart, 2003 TNY ISBN 1 58890 136 X; GTV ISBN 3 13 108642 4 Price: a99.00/$99.00

Andrew G. Lee is an ophthalmologist and director of clinical neuro-ophthalmology at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Paul W. Brazis is a neurologist and head of the neuro-ophthalmology service at the Mayo Clinic in Jacksonville, Florida. Both authors have extensive training and experience in the field of neuro-ophthalmology. In this book, they provide the reader with an evidence-based approach to basic neuro-ophthalmological disorders, such as various optic neuropathies, papilloedema, eye movement disorders, lid lag, pupillary abnormalities and many others. The authors have synthesized 30 years of clinical evidence into a series of useful algorithms covering all the major neuro-ophthalmological disorders. In his foreword to the book, Dr. Neil Miller writes, ‘Never in the history of medicine have physicians had so many ways to both diagnose and treat disease, and never have physicians had so many bureaucratic barriers to performing these activities. This paradox has necessitated a return to the days when clinical judgement was at least as important as diagnostic testing.’

Clinical Pathways in Neuro-Ophthalmology teaches the reader how to approach a patient with a known or presumed neuro-ophthalmological problem in a logical, straightforward and cost-effective manner. The book has 20 chapters. Section headings commonly take the form of a question. There are several, easy-to-follow algorithms offering step-by-step approaches aimed at helping in differential diagnosis and clarifying diagnostic and management choices. Evidence-based data are packed into 125 tables. There is also an extensive list of current references at the end of each chapter for further information.

The text is dense and includes no illustrations. Moreover, a significant amount of background knowledge is assumed. Thus, Clinical Pathways in Neuro-Ophthalmology is not a basic neuro-ophthalmology book for a resident. Designed for the working physician, the book serves as a practical guide to ophthalmologists, neurologists and neuro-surgeons who need an evidence-based approach that links specific symptoms to accurate diagnoses and treatments.