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Doody's Review ServiceReviewer: Paul Hahn, MD, PhD (University of Pennsylvania School of Medicine)
Description: This is a review of the ocular side effects of a comprehensive subset of medications, chemicals, and herbals/supplements.
Purpose: According to the authors, the book is intended as a guide to help clinicians decide whether a visual problem is related to a chemical or medication. I am not aware of any other books that address a similar goal. Medications can have a variety of ocular side effects, and a comprehensive guide listing possible side effects is a valuable reference in clinical practice.
Audience: The book is targeted at "busy clinicians." It is certainly a valuable reference for ophthalmologists who wish to determine whether a patient's symptoms may be a lesser known side effect of a patient's medications (either ocular or systemic). It is also particularly helpful for residents or students who may not be as familiar as experienced clinicians with medication-induced side effects.
Features: Basic pharmacologic principles, including drug delivery/toxicology and clinical methods for evaluating toxic ophthalmic side effects, begin the book. The main part of the book is composed of a list of medications organized by medication type (e.g.: anti-infectives, CNS drugs, GI agents, etc). For each entry, the use of the medication is described, followed by a list of ocular side effects ranked by certainty, a short paragraph describing the clinical relevance of the side effects, followed by references and further readings. The strength of the book lies in this list of ocular side effects for each medication. The breadth of medications covered is comprehensive and includes toxic chemicals and even herbals/supplements. The book is particularly valuable as a clinical reference, and the index is extremely helpful. The index lists all the medications in a standard index format, but it also lists common ocular side effects with their associated medications, color-coded by certainty of association. This book is intended for clinicians who are trying to determine if ocular symptoms may be medication related, making this index is extremely valuable.
Assessment: This book stands alone (as far as I know) in presenting a systematic review of ocular side effects of medications. It is a high quality publication that will be a valuable reference for ophthalmologists.