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Show Journal of Neuro- Ophthalmology 19( 4): 260, 1999. © 1999 Lippincolt Williams & Wilkins, Inc., Philadelphia European Literature Abstracts Horner Syndrome due to Giant Cell Arteritis. Pas-cual- Sedano B, Roig C. J Neuroophthalmol 1998; 20: 75- 7. Postganglion Horner syndrome is often associated with carotid artery dissection or compressive lesions in the upper thoracic aperture. Giant cell arteritis is a rare cause of this entity. This article adds one more- and a rare one- to the differential diagnosis of a droopy eyelid with a miotic pupil. Stage- Dependent Efficacy of Intra- arterial Fibrinolysis in Central Retinal Artery Occlusion ( CRAO). Schmidt D, Schumacher M. / Neuroophthalmol 1998; 20: 125- 41. Central retinal artery occlusion ( CRAO) is a " bad disease," leading to legal blindness in the majority of the affected eyes. Intraarterial fibrinolysis ( IF) has become a promising therapeutic approach if applied early enough after CRAO. Schmidt and Schumacher looked at the efficacy of stage- dependent intraarterial fibrinolysis in 46 patients. The signs of CRAO were allotted to three different stages: I- incomplete CRAO; II- subtotal CRAO; and III- CRAO with choroidal hypoperfusion ( or with choroidal infarction). The amount of urokinase that was supplied through the femoral artery ranged bel l Esriel Killer, M. D. tween 200,000 and 1.3 million IU. Eleven patients ( 24%) showed marked improvement or recovered their vision completely. Seventeen ( 37%) showed partial improvement. Fourteen ( 30.4%) remained stable, whereas visual acuity deteriorated in 4 ( 8.7%). IF was most successful in patients who had slight edema of the central retina and who were treated within a time window of 14 hours after the onset of visual loss. Presumed Ocular Bartonellosis. Kerkhoff FT, Os-sewaarde JM, de Loos WS, Rothova A. Br J Ophthalmol 1999; 83: 270- 5. This article reviews the course of 13 patients with presumed ocular bartonellosis. Three of 13 had no animal exposure. Nine patients were found to have neuro-retinitis and four had panuveitis with positive titers against Bartonella henselae. The cutoff for a positive B. henselae serology was > 1: 900 for the IgG and > 1: 250 for the IgM. As a common feature, all patients had pathologic fluorescein leakage of the optic disc. Most patients were treated with a combination of doxycycline and rifampicin, although the efficacy of antibiotic medications is not firmly established. At a follow- up of 6 months, 17% of the affected eyes had a visual acuity of < 20/ 100 because of optic atrophy and cystoid macular edema. Visual acuity improved two or more Snellen lines in 53% of the affected eyes. |
