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August 1994

Clinical Decisions in Neuro-Ophthalmology

Author Affiliations

Madison, Wis

Arch Ophthalmol. 1994;112(8):1029. doi:10.1001/archopht.1994.01090200035016

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The varied and sometimes complex nature of neuro-ophthalmological disorders makes for diagnostic challenge. In 1985, these authors published the first systematic use of decision trees for neuro-ophthalmic diagnosis, and readers (or more properly, users) found that a morass suddenly became manageable. The second edition of this established textbook follows its predecessor in emphasizing a flowchart-directed approach to neuro-ophthalmological diagnosis, but it has been greatly revised and updated. In the authors' hands, use of the spare but powerful decision tree technique helps discriminate important clinical findings from the epiphenomena and false trails that may otherwise confuse both the beginner and the neuro-ophthalmic veteran. Each chapter has multiple flowcharts, diagrams, and lists that guide the user step by step from presentation to management. Unlike most medical flowchart-based handbooks, however, the text is meaty and peppered with over 1300 useful references. The chapters are accompanied by distinctively shaded paragraphs that offer clear-cut advice

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