Enormous developments have been made in ophthalmology during the last century. Higher precision and newer instrumentation in surgery as well as better examination methods and progress in microbiology have given us access to much more information about the pathological physiology and anatomy that we are confronted with in our various fields of expertise. As we have approached a new millennium we decided to capture some of these new ideas and incorporate them into a conference where we could share our work and benefit from each others' experiences. This book is based on contributions nd presented at the "2 International Conference on Vitreoretinal Diseases" which was held in September 2002 in Vienna, Austria which focused on the retinal macula. The meeting was very fortunate to have the world's most renowned leaders in macular research attend and share their vast experience and expertise as well as their latest research and results. This meeting followed the "First International Conference on Vitreoretinal Diseases" which was held in Vienna, Austria in 1998, and focused on retinal transplantation and retinal microsurgery. nd After the great success of the "2 International Conference on Vitreoretinal Diseases" an overwhelming interest was expressed to gather all these new and innovative ideas that had been developed in a book in order to give colleagues and students access to a valu able collection of the information presented at the meeting. This international meeting was administrated by, Mrs. Tilly and Mr.

The history of the use of ultrasound in medicine has been one of evolution of technology and innovative methods of applying this technology to imaging body structures. Many scientists and clinicians have contributed to this evolution. Ophthalmic ultrasound has become an indispensible tool in ophthalmic practice, with its own instrumentation and techniques. Ultrasound frequencies used in ophthalmology have generally been higher than those used in general medicine because of a requirement for higher resolution and a lesser need for deep penetration. Most ophthalmic diagnostic equipment uses frequencies in the 10 MHz range. The use of ultrasound frequencies in the 50-100 MHz range is a relatively new development in ultrasound imaging of the eye. This technique has been developed in our laboratories over the past several years. We have progressed from the theoretical description of the basic science required, past the first in-vitro experiments in eye bank eyes, to the construction of an instrument capable of clinical application. We have gained broad clinical experience with this instrument in normal patients and patients with ocular disease. A commercial instrument based on our original clinical scanner has recently become available, allowing other clinicians to apply this tool to ophthalmic research and clinical practice. We have applied the term ultrasound biomicroscopy to this new imaging technique because of similarities to optical biomicroscopy, i. e. , the observation of living tissue at microscopic resolution.

Silicone oil was introduced into ophthalmic surgery by Paul Cibis in the early 1960's in an attempt to treat giant retinal tears and cases where retinal detachment had failed to respond to conventional scleral buckling tech niques. His understanding of the nature of vitreous pathology and how it related to complex retinal detachment laid the foundation for modern vit reoretinal surgery. Cibis's success with these problems together with his rationale for sepa rating membranes from the retina led others to try their hand at learning his techniques. At the same time much criticism was levelled at the concept of injecting what was regarded as a foreign material into the eye, as well as to the whole idea of operating within the vitreous cavity. Some of this was personal, some due to a lack of understanding of the underlying pathology and some due to disappointment following surgical failure us ing the new methods. Early results were certainly encouraging but it was not until the advent of pars plana vitrectomy that it became possible to develop more refined methods in combination with the use silicone oil so that much better results could be obtained.

We in ophthalmology are fortunate to be able to measure quantitatively many aspects of ocular morphology and visual function. These measurements are either objective (e. g. electroretinography, tonometry, electromyography, visually evoked responses, etc.) or subjective and psychophysical (e. g. visual acuity, visual fields, color vision, etc.). One aspect of corneal physiology and pathology which has so far escaped careful and reliable measurements is corneal sensitivity. Previous attempts have been rather crude and can be compared to measuring intraocular pressure by digital compression. Professor Draeger has for the last decade and a half directed his attention to the question of esthesiometry of the cornea. He has a gift for constructing and devising new ingenious ocular instruments. His handheld tonometer is a splendid example. He has now applied the principle of this instrument to the new electronic optical esthesiometer. In many publications he has reported on his first results using this modern technique to study corneal physiology and evaluate certain pathologic conditions. In this monograph Professor Draeger has collected all of his material and reports on his long experience. The usefulness of this instrument is just beginning to be appreciated. It is obvious that this new measuring device will help us in the fitting of contact lenses, evaluating herpes simplex infections of the cornea, follow the postoperative course of patients with a penetrating keratoplasty, etc.

The forth meeting of the Organizing Committee of the Glaucoma Society of the International Congress of Ophthalmology was held on March 10-13,1990 in Bali, Indonesia. Traditionally this meeting is attended by committee mem- bers and invited experts and precedes the International Congress of Ophthal- mology under the auspices of the International Council of Ophthalmology. The scientific format was structured by Stephen M. Drance, OC, MD,lVan- couver (President of the Society from 1982-1990) and John Hetherington, JR, MD,ISan Francisco (General Secretary of the Society from 1982-1990). The local organization was in the very competent assistance of Josef Kadi, an ophthalmologist from Surabaya, Indonesia. Glaucoma Update IV comprises forty presentations from this meeting high- lighting the latest progress in global glaucomatology. Basic research related to the pathomechanisms of the disease, new diagnostic approaches and treat- ment modalities contribute to the best possible care of our patients. The ob- jectives of the Society are to share the frontiers of knowledge presented in these proceeding with everyone dealing with glaucoma patients all over the world. The Society is indebted to Chibret International/Rahway, Allergan Pharma- ceuticals/Irvine, and Otsuka Pharmaceuticals/Tokushima for support of the meeting and to Chibret Pharmaceuticals GmbH Munich for supporting the printing expenses of this volume.

Glaucoma simplex or open angle glaucoma is a slow, progressive illness with an insidious course which can lead to blindness. According to our con temporary state of knowledge, the illness begins with a decreased outflow of aqueous humor. This leads, sometimes after a period of decreased aqueous humor production due to a feedback mechanism, to an increase in intra ocular pressure (lOP). An elevated lOP can eventually lead to optic nerve damage, which manifests itself morphologically as glaucomatous papillary excavation and functionally in the development of a visual field defect. The classic triad of elevated lOP, papillary excavation and visual field defect, on which the diagnosis of glaucoma was also based in earlier times, is then pre sent. To this can now only be added that tonography usually shows a de crease in aqueous humor outflow and that gonioscopy must reveal an open angle. On the basis of statistical findings, Goldmann has calculated that there may be an interval of as long as 18 years between the initial increase in lOP and the development of visual field defects. This point of view (which has been confirmed in practice) that the onset of the illness can be demon strated by measurement of the lOP has introduced a new element into the discussion around glaucoma, namely, the concept of ocular hypertension. This implies simply that there is an (statistically) elevated intraocular pres sure, even though the optic nerve may not (yet) be damaged.

Roots of the theory and practice of ocular pharmacology may be traced to the ancient Mesopotamian code of Hammurabi and then to several papyri reflecting the clinical interests of the Egyptians. The evolution of its art and science was irregularly paced until the nineteenth century when Kohler, in 1884, proved the anesthetic effect of cocaine on the cornea, and when Fraser, Laquer, Schmiedeberg, Meyer, and others studied the pharmacology of the autonomic nervous system by way of observations of the pupil. Advances in the past few decades have been nothing short of explosive. How can the student, physician, or basic research scientist stay in touch with these electrifying studies? To help with the answer to this question, the authors set as their goal the development of increased understanding so that the student, research scientist, and ophthalmologist can cope with the latest discoveries. The authors want to narrow what appears to be an ever-increasing gap between basic science and ophthalmology. The basic aspects of pharmacology have been presented in light of the natural physiology. In this regard, while distinctions among endogenous mechanisms, drug effects, and the pathogenesis of disease are to be separately recognized, appreciation must be given to the concept that both the desirable and unwanted manifestations or functions caused by either disease or drugs must very often represent a quantitative change in normal metabolic pathways.

In its long series of annual reports, the Belgian Society of Ophthal- mology has a tradition of bringing into focus the recent advances in ophthalmology. But it seems surprising that one has to go back to 1940 to find a major report on the corneal diseases, when R. Rub- brecht wrote an "Aperr;u de la pathologie et de la therapeutique generale des maladies de la cornee". However, this omission is only apparent. In fact, many reports, since then, have contributed to our knowledge of the advances in corneal research. The corneal dimensions were documented in "La biometrie ocu- laire clinique (Y. Delmarcelle et aI., 1976)", the fine structure of the cornea in "L'ultrastructure de tissues oculaires (L. Missotten, 1964)", and many aspects of its metabolism in "Les verres de contact (P. Cochet et ai, 1967)" and "Les complications oculaires des erreurs congenitales du metabolism (J.P. Groux et O. Kallay, 1971)" . Bacterial keratitis was a main topic in "La therapeutique par les antibiotiques autres que la Penicillamine en Ophtalmologie (1. Michiels, 1952). Fungal corneal infections were described in detail in "Les mycoses oculaires" (J . Fran90is et M. Elewaut-Rysselaere, 1968)" and the toxic effects of drugs were dealt with in "Les effets nocifs des medications generales sur I'appareil visuel (J. Michiels et coil. 1972)".

As a garden is to a gardener, so a book is to its author. Nurtured out of love, both are a source of pride and hope. Microbiology, immunol ogy, infectious diseases, rheumatology, and ophthalmology are the seeds of this textbook on uveitis. Over the years, these branches of medicine have been cultivated and garnered to care for patients with inflammatory diseases of the eye, a most hardy species in the family of ocular maladies. The aim of this clinical manual is to give both a serviceable frame work and practical information on ocular inflammatory disease. The first section is devoted to general principles and commonly held sup positions in the field of uveitis. A system of diagnosis, based on the differential, is also offered. Traumatic uveitis is addressed in the sec ond section. The third part examines infectious diseases that have been identified with uveitis. These are frequently curable forms of ocular inflammation caused by replicating foreign antigens. The fourth section of this textbook considers inflammatory diseases of the eye with a presumed autoimmune mechanism. A disobedient, autoreactive immune response is postulated to playa role in these forms of uveitis. Masquerade and idiopathic conditions are dis cussed in the final chapters. Etiology, epidemiology, pathogenesis, clinical presentation, diagnosis, differential diagnosis, treatment, and prognosis are provided for each disease syndrome. As with most gardens, there are many styles and delightful entrances to the field of uveitis.

The phenomenon known as Leao's spreading depression is investigated in this collection of ten original articles. New ideas about the fundamental mechanisms, which focus on the involvement of polyunsaturated fatty acids and free radicals, are presented. The relationship of spreading depression with clinical entities such as migraine, epilepsy, ischemic and protein-deficiency conditions of the nervous tissue are discussed as well. Studies dealing with the application of non-invasive techniques to monitor the disease are included.

Contents Introduction .......................................... . 1 The Primate Eye ...................................... . 2 Embryology of Retina and Choroid ....................... . 4 Microscopic Anatomy .................................. . 4 Retina ............................................ . 4 Choroid ........................................... . 8 Material and Methods .................................. . 10 Fine Structure of the Retina 14 RetinaI Pigment Epithelium ............................. . 16 Photoreceptor Cells ................................... . 30 Outer Plexiform Layer and Horizontal Cells .................. . 64 Bipolar, Radial Clial, and Amacrine Cells .................... . 76 Canglion Cells and InternaI Limiting Membrane ............... . 98 Spatial Density of RetinaI Cells .......................... . 112 Fine Structure of the Choroid ........................... . 116 Choroidocapillaris and Its Fiber System ..................... . 118 Arteries, Veins, and Lymphatic Spaces ...................... . 134 Choroidal Nerves .................................... . 142 Cells of Choroidal Connective Tissue ....................... . 148 References ........................................... . 153 Index ................................................ . 157 vii This volume describes the morphology of the primate re tina as seen with the electron microscope. As it is an atlas, the electron micrographs are its most In trad lietian important part. The text accompanies the figures, highlighting selected topics either to explain structures or to point out structure-function relation ships. A scholarly review of the whole spectrum of research on the re tina and choroid is not feasible in a single volume. Thus, whenever available, review artides or monographs, rather than original work, are cited for reference."

Pediatric Oculoplastic Surgery is the definitive text for ocular disorders and how they apply specifically to children. Addressing everything from genetic considerations, embryology and anatomy, anesthesia, dermatologic considerations, benign and malignant tumors, fetal wound healing, establishing propoer diagnosis, timing for surgical interventions and surgical procedures. This volume is an essential addition to the library of every pediatric ophthalmologist and reconstructive surgeon. The distinguished contributors have combined their surgical knowledge and experience with over 1,100 color photographs and custom illustrations to present comprehensive and readily usable information on the identification and treatment of a wide range of ocular disorders.

The eye has fascinated scientists from the earliest days of biological in vestigation. The diversity of its parts and the precision of their interaction make it a favorite model system for a variety of developmental studies. The eye is a particularly valuable experimental system not only because its tissues provide examples of fundamental processes, but also because it is a prominent and easily accessible structure at very early embryonic ages. In order to provide an open forum for investigators working on all aspects of ocular development, a series of symposia on ocular and visual devel opment was initiated in 1973. A major objective of the symposia has been to foster communication between the basic research worker and the clinical community. It is our feeling that much can be learned on both sides from this interaction. The idea for an informal meeting allowing maximum ex change of ideas originated with Dr. Leon Candeub, who supplied the nec essary driving force that made the series a reality. Each symposium has concentrated on a different aspect of ocular development. Speakers have been selected to approach related topics from different perspectives."

When seen from an outsider's vantage point, the development of knowledge in the sensory sciences must appear massive and the result of some carefully followed master plan. In reality, it is the result of numerous relatively independent human endeavors shaped by application of the scientific method. The comprehensive construction of quantitative theories of sense organ function has occurred only recently -but at an explosive rate prefaced by centuries of expansion in the physical sciences. Predicated on this growth, the twentieth century may become known as the age of the biological sciences. With the exception of a modest number of intellectual giants, there were few contributors to the foundations of the sensory sciences before the dawn of this century. At least 90% of existing knowledge has been produced by scientists working in laboratories founded since 1920. If any single scientist and his laboratory may be identified with the growth in the sensory sciences, it is EDGAR DOUGLAS ADRIAN, First Baron of Cambridge and leader of the Physiological Laboratory at Cambridge University, England. Lord ADRIAN'S influence upon the sensory sciences was great, not only in terms of his contribution to knowledge itself but also through the influence which he exerted upon numerous young scientists who spent weeks or years at the Cambridge laboratory and who later returned to their homelands and colleagues with the seeds of vigorous research and quantitative inquiry firmly implanted.

Das trockene Auge ist eine der schwerwiegendsten Komplikationen von Bindehauterkrankungen verschiedenster Genese, von Stellungs anomalien, Lahmungen und Narbenbildungen an Lidern und Binde haut. Fundierte Kenntnisse hierzu erbrachten erstmals die Unter suchungsergebnisse von Sjogren aus den dreifSiger Jahren, vorwie gend aber die wissenschaftlichen Ergebnisse zahlreicher Forscher gruppen der letzten zehn Jahre. Diese zu sichten, Zusammenhange, Gemeinsamkeiten und Verlaufe der zahlreichen Schadigungen und Entziindungen des Auges, die zum Syndrom des trockenen Auges fiihren, zu erarbeiten, urn eventuell neue Impulse fiir die Diagno stik, Klinik und Therapie zu geben und urn den Augenarzt Richt Iinien zum Erkennen und Behandeln derartiger Augenerkrankungen darzuIegen, wurde der Workshop "Chronische Conjunctivitis - Trockenes Auge" durchgefiihrt, an dem Ophthalmologen, Anatomen, AllergoIogen, Elektronenmikroskopiker und Biochemiker, die auf diesem Gebiet seit Jahren gearbeitet haben, teilnahmen. Allen diesen gilt mein Dank, nicht zuIetzt der Firma Dr. Mann, Berlin, welche die Durchfiihrung des Workshops iiberhaupt erst ermoglichte. UIm, im Mai 1982 Rolf Marquardt Inhaltsverzeichnis T eilnehmerliste des Workshops . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . Einleitung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Pathophysiologie Rohen, J. W., Steuhl, P., Arnold, W. H.: Zur funktionellen Morphologie der Conjunctiva . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Liitjen-Drecoll, E., Steuhl, P., Arnold, W. H.: Morphologische Besonderheiten der Conjunctiva bulbi . . . . . . . . . . . . . . . . . 25 . . . Brewitt, H., Honegger, H.: Morphologische Befunde des Horn hautepithels bei Starung des praecornealen Filmes und nach Applikation von Augenmedikamenten. Eine raster- und transmissionselektronenmikroskopische Untersuchung . . . . . . 35 Marquardt, R.: Untersuchungen zur Tranenfilmstabilitat . . . . . 58 Janssen, P. T., van Bijsterveld, O. P.: Pathophysiology of the Tear Film: Protein Patterns in Health and Disease. . . . . . . . ."

Noninvasive Diagnostic Techniques in Ophthalmology explores the special noninvasive tools developed to function as diagnostic indicators and to further our understanding of ocular function. The volume's focus is on new development in instrumentation and techniques for studying the cornea, lens, retina, vitreous, and aqueous dynamics; whereby special attention is given to how each technique has improved our understanding of basic processes and diagnostic capability. Theoretical aspects, possible sources of error, current problems and limitations, safety evaluation, and future applications and directions are considered. Topics examined include ophthalmic image processing; magnetic resonance imaging of the eye and orbit; diagnostic ocular ultrasound; corneal topography; holographic contour analysis of the cornea; wide field and color specular microscopy; use of the Fourier transform method for statistical evaluation of corneal endothelial morphology; confocal microscopy; in vivo corneal redox fluorometry; evaluation of cataract function with the Scheimp-flug camera; fluorescence and Raman spectroscopy of the crystallin lens; in vivo uses of quasi-elastic light scattering; fundus reflectometry; and clinical visual psychophysics measurements. The book offers discussions of fractal analysis of human retinal blood vessel patterns, scanning laser tomography of the living human eye, fundus imaging and diagnostic screening for public health, and digital image processing for ophthalmology, as well as a detailed appendix comprising additional topics and sources.

The region of the skull base was long considered a surgical barrier because of its complex anatomy. With few exceptions, the region immediately beyond the dura or bony skull base constituted a "no man's land" for the surgeon working from the other direction. A major reason for this was the high morbidity associated with operative procedures in that area using traditional dissection techniques. This situation changed with the advent of the operating microscope. Used initially by ear, nose and throat specialists for resective and reconstructive surgery of the petrous bone and parana sal sinuses, the operating microscope was later introduced in other areas, and neurosurgeons began using it in the mid-1960s. With technical equality thus established, the groundwork was laid for taking a new, systematic, and interdisciplinary approach to surgical problems of the skull base. Intensive and systematic cooperation between ear, nose and throat surgeons and neurologic surgeons had its origins in the departments of the University of Mainz bindly supported by our chairmen Prof. Dr. Dr. hc Kurt Schiirmann (Department of Neurosurgery) and Prof. Dr. W. Kley (Depart ment of Ear, Nose and Throat Diseases, Head and Neck Surgery). The experience gained from this cooperation was taught in workshops held in Hannover from 1979 to 1986, acquiring a broader interdisciplinary base through the participation of specialists from the fields of anatomy, patholo gy, neuroradiology, ophthalmology, and maxillofacial surgery.

Proceedings of the 9th SIDUO Congress, held in Leeds, UK, July 20-23 1982

Herpes Simplex Virus is the fifth monograph to be published in the Bloomsbury Series of Clinical Science. It provides an authoritative review of the key issues related to this common clinical problem. The characteristics of the virus, its epidemiology and the diag nosis and management of the various forms of infection are all considered. Adrian Mindel is an international authority on this subject; he joined the Academic Department of Genito-urinary Medicine at the Middlesex Hospital in 1980 and has been actively involved in HSV research since that time. His major research interests include the epidemiology and treatment of genital herpes, the epidemi ology of neo-natal herpes and the many and varied features of HSV infections in immuno-compromised patients. The continuing aim of the Bloomsbury Series is to identify the growing areas of clinical research and relate these to current and future medical practice. In Herpes Simplex Virus such aspirations have been successfully achieved. London, May 1989 Jack Tinker Preface There has been considerable interest in herpes simplex viruses (HSV) over recent years. Amongst the many reasons for this are the introduction of safe and efficacious therapy, the recognition that HSV may cause life-threatening infections in neonates and immunocompromised patients, the observation that genital herpes is one of the commonest viral sexually transmitted diseases and the possible association of HSV with cervical cancer."

The Seventh Symposium on Ocular and Visual Development was held in October, 1982. The aim of the meeting was to develop a broad perspective on visual acuity. The subject was discussed initially in terms of molecular events of photoreception, and the metabolism of the photoreceptor ele ments. Subsequent papers presented the development and complexity of the neurocircuitry and transmitter systems in the retina that process the visual information prior to transfer to the brain. The meeting concluded with a series of papers on behavioral and physiological methods of mea surement of visual acuity in humans, particularly young children. This volume arose from the papers presented at the meeting. We feel that the juxtaposition of research of broadly differing methodologies will be stim ulating, rather than daunting, and will generate an enhanced understand ing of this complex subject. We are indebted to our colleagues: Dr. M. Mote from Temple University, and Drs. J. Siegfried, P. Dayhaw-Barker, and L. Press from the Pennsylvania College of Optometry for their expertise and assistance in the organization of the meeting; to the speakers for their presentations and contributions to this volume; and to the reviewers of the manuscripts for their helpful comments. This symposium could not have been held without the generous support of the Temple University College of Arts and Sciences and the Pennsyl vania College of Optometry. We also thank Merck, Sharp and Dohme, Inc. for their donation."

In Dedication to Hermann Burian (1906-1974) T. LAWWILL (Louisville) This 14th Symposium of the International Society for Clinical Electro- retinography is dedicated to the memory of a great ophthalmologist, great physiologist, former officer of this Society, and my professor, Hermann Martin Burian. Dr. Burian was a visual physiologist and an ophthalmologist. His physiol- ogy heritage was the finest. His father, Richard, was an eminent European physiologist who at the time of Dr. Burian's birth was director of the Stazione Zoologica in Naples. The family later moved to Leipzig and Belgrade, where Dr. Burian's father held professorships. Hermann Burian's ophthalmological academic heritage was also outstand- ing. After graduating from medical school in 1930 in Belgrade, he became a student of Tschermak and along the way worked with such famous men as Siegrist, Goldmann and Weigert. In 1936, Dr. Burian came to the USA to join the Dartmouth Eye Insti- tute. Here he worked in ocular motility under Professor Bielschowsky and in physiological optics under Professor Ames. He was chief ophthalmologist of the Darmouth Eye Institute from 194245. He was in the private practice of ophthalmology in Boston for six years before moving to Iowa City, Iowa where, for twenty years, he practiced and taught ophthalmology and carried out research on many problems in ophthalmology and visual physiology. Dr. Burian's two main interests were strabismus and electrophysiology, but this did not keep him from publishing outstanding work on glaucoma, congenital anomalies, and color vision.

This volume contains the proceedings of a work shop entitled "Physiological and Pathological Aspects of Eye Movements" held at the Pont d'Oye Castle, Habay-Ia-Neuve, Belgium, March 27-30 1982. The meeting was sponsored by the European Communi ties. It brought together specialists of oculomotricity mainly from Europe but also from North-America. With such actions, the Communities want to encourage inter national and multidisciplinary contacts between re searchers of a particular field. Oculomotor neuroscien tists, for quite a long time, have developed such con tacts. This cooperation - this is not so common in biological research - embodies various approaches, from basic mechanisms to behavioral studies, but also this applied science that medicine is or should be. Many basic discoveries about eye movement mechanisms, made with the help of human of animal subjects, have found rapid medical applications in neurology, neuro ophthalmology or otolaryngology. This is illustrated in this book by the fact that results obtained on rats or cats are interspersed with reports of clinical in vestigations. The workshop was mainly focused onto three themes: (a) eye and head movements in man, (b) visuo-vestibular interaction and (c) eye-head coordination. In each theme, one or more "review" papers were included. In addition, most of the oral presentations or posters on display mainly contained unpublished material."

Considering the high incidence of myopia - and its inherent morbidit- it may wonder that the item is dealt with only sporadically in recent literature, and almost never at international conferences. However, there was a First International Conference on Myopia in New York 1964, and the Second was held in Yokohama 1978, affiliated to the XXIII World Congress of Ophthalmology. Here it was attempted to set out lines for future myopia research, and, as a practical implicaton, the arrange ment of the Third International Conference on Myopia was entrusted to Danish ophthalmolOgists. This conference took place in Copenhagen, August 24-27, 1980. To make the scope the widest possible, the conference was, as was the pre decessing in Japan, open not only to ophthalmologists, but 'to all being active in the various aspects of myopia research'. The conference report gives a picture of the Copenhagen meeting. Furthermore, a platform or current status of myopia research has hereby been established. The editors have made it their main task to arrange the papers, and to bring them in a form suited for print, while criticism by editorial referees has been considered inappropriate. The papers give an impression of the ambiguity still prevailing in the field, and although 't, rends' are obvious, a fmal consensus of Conference was not arrived at. To document this state of affairs, however, is considered a useful task."

We have registered the ERG in 26 chronic uraemics treated with periodic haemodialysis, nearly always finding a subnormal b-wave. In 11 chronic uraemics treated only with dietetic-conservative therapy, the electroretino- gram resulted only slightly reduced and with a voltage clearly superior to that of the previous group. REFERENCES Agzamova, H.S. Tonographic values in patients with chronic renal insufficiency. Of tal. Zh. 20: 32-34 (1975). Berlyne, G.M. Microcrystalline conjunctival calcification in renal failure. Lancet II: 366-370 (1968). Biagini, M. & E.M. Gloria. Comportamento della pressione intraoculare durante emo- dialisi in pazienti affetti da uremia cronica.Ann. Ottal. 93: 705-713 (1967). Boudet, Ch., B. Arnaud & D. Pincemin. Cataracte au cours d'h'emodialyses (dans les insuffisances renales chroniques). Bull. Soc. Ophtal. France 73: 199-205 (1973). Burn, R.A. Intraocular pressure during haemodialysis. Br. I. Ophthal. 57: 511-513 (1973). Cavallacci, G., G. Tota & A. Wirht. Studio sperimentale sull'effetto della difenilidan- toina sull'Elettroretinogramma. Ann. Ottal. 100: 560-568 (1974). Demco, T.A., A.Q. McCormick & J.S.F. Richards. Conjunctival and corneal changes in chronic renal failure. Can. I. Ophthal. 9: 208-213 (1974). Deodati, F., P. Bec, M. Camezind & J .B. Labro. Les manifestations oculaires au cours de l'hemodialyse periodique. Bull. Soc. Ophtal. France 71: 87-92 (1971). Ehlers, N., F. Kruse Hansen, H.E. Hansen & O.A. Jensen. Corneoconjunctival changes in uremia. Acta Ophthal. Kbh. 50: 83-94 (1972).