Facebook
Twitter
LinkedIn
Email
 |
Checking for direct PDF access through Ovid | |
Excerpt
Anterior Segment Repair and Reconstruction Techniques and Medico-Legal Issues by Bruce A. Noble, Ian G. Simmons, and Bernard Y. P. Chang, presents a new and useful examination of an extremely common problem. In this straightforward, useful reference text, the authors have taken the complicated issue of anterior segment reconstruction and supplied the reader with a logical, detail oriented approach to surgical repair in the face of a primary injury and reconstruction after unsatisfactory primary repairs.
FIGURE
The authors have broken this complicated subject into four sections and nine chapters. In Section I, Repair and Recovery, the emphasis is on primary response and management, and principles of management of the repair of ocular injuries is clearly discussed. The 2nd Section on Reconstruction includes chapters on history and examination, reconstructive techniques, and management of postoperative problems. Section III is devoted to the unique cases of the damaged pediatric eye and ocular surface reconstruction, while Section IV on Reparation and Rehabilitation presents evidence based outcome measures following cataract and reconstructive surgery, and concludes with medical jurisprudence for ophthalmologists.
In total, this text is extremely useful to both the beginning and experienced anterior segment surgeon. Each chapter includes beautiful, color illustrations. There are practical tables highlighted throughout the chapters allowing quick reference to important subjects. The surgical illustrations are easy to follow, artistic renderings of complicated techniques that have been augmented with side by side clinical photos. Management paradigms have been included for the initial assessment of patients and would be useful for both the resident and experienced surgeon. Finally, the authors have included numerous “worked examples,” which are clinical cases presented concisely with clinical findings, management outcome, and learning points included.
Although this text may not include every possible surgical approach to anterior segment reconstruction, the authors have provided the reader with an extensive array of choices that they have found to be useful in their hands. The inclusion of techniques that the authors are clearly comfortable with has allowed translation through the text with drawings of subtleties that allow the surgeon, both beginning and advanced, to adopt these techniques. The authors have stated “what separates a good operator from a bad operator is how they manage complications.” Whether complications present during the primary repair or complex intervention and reconstruction, those who have read this text will clearly have a better ability to provide their patients with an optimal outcome. The inclusion of evidence-based outcome measures in this text and medical jurisprudence has rounded this text out to provide the reader with a complete picture.
Anterior Segment Repair and Reconstruction is not simply a surgical atlas of how to repair and reconstruct the anterior segment but helps the surgeon visualize the whole picture from their initial approach to the final outcome whether good or bad. Inclusion of this concise, easily read text in the library of any anterior segment surgeon is a must, as it prepares the surgeon to provide patients with the best primary repair, which may alleviate the need for later surgical revision.
