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September 1989

Ocular Differential Diagnosis

Author Affiliations

Rochester, NY


4th ed, by Frederick Hampton Roy, 710 pp, with illus, $49.50, Philadelphia, Pa: Lea & Febiger; 1989.

Arch Neurol. 1989;46(9):942. doi:10.1001/archneur.1989.00520450012003

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This is the fourth revision of a reference well known to the ophthalmic community. Ocular Differential Diagnosis is an exhaustive collection of differential-diagnoses that encompasses the full spectrum of ophthalmic and neuro-ophthalmic disease. It is organized chiefly by regional anatomy, ie, orbit, extra-ocular muscles, pupil, and retina. For example, fourth-nerve palsy is followed by a list of 50 possible causes, a 12-part reference list, and a "diagnostic decision table" that ranks the likelihood of a particular cause against the specific findings of history, examination, and laboratory data. A smaller section describes the differential diagnosis of general visual signs or symptoms. A comprehensive index provides another means of finding your way through this edition.

The fourth edition of Ocular Differential Diagnosis is a further improvement of an already comprehensive and widely used reference. The beginner would better obtain his overview of ocular differential diagnosis from a simpler text, but, for the

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