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The fact that this book is in its fifth edition speaks for its popularity. It adds two chapters to the fourth edition, which was published in 1970. One of the additional chapters is on the pathologic features of the eyelid and conjunctival tumors, while the other deals with cosmetic surgery of the eyelid. The remainder of the book remains essentially unchanged from the fourth edition.
As with the previous editions, the strength of this book is in Dr Fox's historical presentation of the various problems in ophthalmic plastic and reconstructive surgery. His command of the English language makes this book enjoyable reading, and there are few publishing errors.
While the author indicates in the preface that in the time since his fourth edition there have been "few if any basic or fundamental breakthroughs" in lid repairs, I believe that such is not the case. Herein lies the weakness of this
Anderson RL. Ophthalmic Plastic Surgery. Arch Ophthalmol. 1977;95(5):899. doi:10.1001/archopht.1977.04450050177028