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Show IOllnla' of CllflI( fll Ncuro- 0l'frtfrillmoh, xy ] 2(- 1): 282- 285, 1992. Literature Abstracts Recovery of Anterior Segment Circulation after Strabismus Surgery in Adult Patients. Olver JM, Lee JP. Ophthalmology 1992; 99: 305- 15 ( Mar). [ Reprint requests to Jane M. Olver, FRCS, Moorfields Eye Hospital, City Road, London, England EClV 2PD.] From 41 patients, 43 eyes were studied for iris perfusion defects following surgery on one or two vertical extraocular muscles or contiguous inferior rectus/ medial rectus surgery. Just over 50% had " angiographic sector delay" on the first postoperative day, but only 15% had vessel leakage or uveitis. Most patients had normalization in 2 to 4 weeks postoperatively, but two had persistent pupil atony. These findings are extensively discussed and analyzed. Lyn A. Sedwick, M. D. Torsional Diplopia After Transantral Orbital Decompression and Extraocular Muscle Surgery Associated with Graves' Orbitopathy. Garrity JA, Saggau DO, Gorman CA, Bartley GB, Fatourechi V, Hardwig PW, Dyer JA. Am J Ophthalmol 1992; 113: 363- 73 ( Apr). [ Reprint requests to Dr. J. A. Garrity, Mayo Clinic, 200 First Street S. W., Rochester, MN 55905.] The authors report on 26 patients with symptomatic torsional diplopia from a group of 428 patients with thyroid eye disease who had transantral orbital decompression surgery at Mayo Clinic from 1969 to 1989. Some case reports are included. Surgical management is discussed, as well as possible mechanisms for torsional problems follOWing orbital decompression surgery. Lyn A. Sedwick, M. D. Supervoltage Orbital Radiotherapy in 36 Cases of Graves' Disease. Lloyd WC III, Leone CR Jr. Am J Ophthalmol 1992; 113: 374- 80 ( Apr). [ Reprint requests to Dr. C. R. Leone Jr., Medical Center 282 © 1992 Raven Press, Ltd., Neve :, ' rk Tower I, Suite 505,7950 Floyd Curl Drive, San Antonio, TX 78229.] Thirty- six patients with " progressive Graves' orbitopathy" were treated with radiation therapy between 1979 and 1991 by the authors. The " primary goal of treatment" included " the arrest of exophthalmos, orbital congestion, optic nerve compression, as well as extraocular muscle and eyelid dysfunction." It is not clear how many patients had visual loss preradiation or improvement of same postradiation according to the table that summarizes their patients' results with radiation therapy. Three patients failed to respond to radiation therapy, but all others had some symptoms and signs improve, resolve, or stabilize. The authors believe radiation therapy to be a good first- line treatment for many of the signs and symptoms of thyrOid eye disease and to be superior to long- term corticosteroid therapy, which some of their patients apparently had tried initially. Lyn A. Sedwick, M. D. Microcatheter Urokinase Infusion in Central Retinal Artery Occlusion. Schmidt 0, Schumacher M, Wakhloo AK. Am J Ophthalmol 1992; 113: 429- 34 ( Apr). [ Reprint requests to Dr. D. Schmidt, University Eye Hospital, Killian Str. 5, D- W 7800 Freiburg, Germany.] Fourteen consecutive patients with acute central retinal artery occlusion were treated with a microcatheter injection of urokinase into the ophthalmic artery. Four patients who had symptoms on average of 4 hours had excellent return of vision, five others slight improvement ( symptoms ranging from 5 to 55 hours pretreatment). One patient had a transient ischemic attack dUring the treatment session. A very interesting paper and therapy. Lyn A. Sedwick, M. D. Familial Total Ophthalmoplegia with Iris Transillumination ( a Neurocristopathy). Cibis GW Tripathi RC, Tripathi BI, Seidel FG. Am J ())) hthal~ |
