The second edition of this book builds handsomely on the precocious nature of the first edition. As the eye is frequently involved in genetic and metabolic diseases, rapid advances in these fields would suggest the eventual maturation of this textbook from a collected series of essays to a sturdy reference tome; the second edition is a substantial step in this direction. The book is divided into 20 chapters, with authors including ophthalmologists, geneticists, pediatricians, biochemists, and dermatologists. The chapters have the structure of review articles, and successful attempts have been made to minimize the repetition of material, which is often the hallmark of multiauthored texts. The first chapter, Fundamentals of Genetics, by editor Dr Renie, is an articulate and quite readable review of genetic principles, which when taken in tandem with chapter 8, Human Chromosomal Disorders and the Eye, by Gieser et al, forms an excellent review on this subject.