Glaucoma: its Symptoms .Varieties, Patho-

logy and Treatment.? -By Alex. W. Stirling,

, A^U4-Kn1i?\l'n

m.d., c.M. (Ed ) d.pIi. (Lond.), late upiiunan.i^

Surgeon, Post Graduate Medical School and Hos-

pital, New York, &c., Atlanta, Georgia. St.

Louis: J ones H. Parker, 1898. 8vo., pp. 177.

The author states that the contents of this

volume were put together in great part in con-

nection with his lectures to the students of the

Post-Graduate Medical School of New York.

They were published seriall\r in the Annals of

Ophthalmology and are now reproduced in book-

form. This statement prepares one for what

the book is, viz., a good resume, of all that is

known of glaucoma at the present time. The

various theories elaborated to account for the

disease are fully and fairly discussed, the author

himself regardingall the sj'inptomsas explainable

by the increased tension, and adopting Priestley

Smith's views on its etiology. No mention is

made of Abadie's theory or of his operation on

the cervical sympathetic for the relief of glau-

coma. Dr. Stirling carried out a series of ex-

aminations in the laboratory at Moorfields in

1893 on the condition of the vortex veins and

the choroid in twenty eyes enucleated for glau- coma, and gives an epitome of his results in

Chapter VII. In only three of the cases was anything abnormal found in the veins in the

shape of inflammatory changes in the walls of the vessels. In eleven of the 20 cases the chor- oid showed inflammatory patches. As regards treatment, Treacher Collins' iridectome dialysis is advocated in preference to all other opera- tions. A good feature of the work is the biblio- graphy at the end of each chapter. The 77 illus- trations from micro-photographs are but indiffer- ent. The book forms a useful summary of our

present knowledge of glaucoma.