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Show 216 LITERATURE ABSTRACTS Orbitocranial Wooden Foreign Body Diagnosed by Magnetic Resonance Imaging. Dry Wood Can Be Isodense with Air and Orbital Fat by Computed Tomography. Specht CS, Varga JH, Jalali MM, Edelstein Jr. SlIrl' Oplrtlwlmol 1992; 36: 341- 4 ( Mar- Apr). [ Reprint requests to Dr. C. S. Specht, Department of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC 20306- 6000.] A 9- year- old boy fell on a toy spear tipped with a wooden golf tee. An intracranial wooden foreign body was not seen on an initial computerized tomographic study but was well- visualized on magnetic resonance imaging performed when his clinical status was deteriorating. Lyn A. Sedwick, M. D. Ocular Invasion in Mucormycosis. Sponsler TA, Sassani JW, Johnson LN, Towfighi J. Sun' Ophthalmol 1992; 36: 345-- 50 ( Mar- Apr). [ Reprint requests to Dr. L. N. Johnson, Neuro- Ophthalmology Division, Mason Institute of Ophthalmology, University of Missouri- Columbia, Columbia, MO 65202.] A 58- year- old woman who had a nephrectomy for renal cell carcinoma and was on prednisone for autoimmune hemolytic anemia presented with a 3- week history of diplopia, left facial numbness, and left periocular and facial swelling. She had no light perception vision left eye with a pale disk and diffuse retinal edema consistent with arteriolar occlusion. In spite of aggressive diagnostic surgery and therapeutic maneuvers for mucor, the patient expired. LYIl A. Sedwick, M. D. Getting to the Heart of Visual Loss: When Cardiac Medication May Be Dangerous to the Optic Nerves. SedwIck LA, with comments by Hedges TR, III, Newman NJ. Sun' Ophthalmol 1992; 366-- 72 ( Mar- Apr). [ Reprints are not available.] A 62- year- old white female with bilateral, consecutive progressive ischem~ c optic neuropathy who was takIng amlOdarone tor a cardiac arrhyth- ' GiJl Neuro' 0I'Irt1lalmol. Vol. 12. .\' 0. 3. / qqc mia is presented. Whether her visual loss v.. ( elated to the cardiac medication is discussed as v, ell as diagnostic and therapeutic management. Lyn A. Sedwick, M. D. Visual Loss in Pseudotumor Cerebri from Branch Retinal Artery Occlusion. Lam BL, Siatkowski RM, Fox GM, Glaser JS. Am / Ophthalmol 1992; 113: 334-- 6 ( Mar). [ Inquiries to Dr. J. S. Glaser, Bascom Palmer Eye Institute, PO Box 016880, Miami, FL 33101.] A 16- year- old obese girl experienced abrupt visual loss right eye 2 weeks before examination, which disclosed bilateral decreased visual acuity, contracted visual fields, bilateral disk edema and a branch retinal arteriole occlusion right eye. Computerized tomographic scanning was normal and lumbar puncture showed an opening pressure of 400 mmH: p with normal fluid. She was aggressively treated with acetazolamide and methylprednisolone with good return of visual function. The authors believe her retinal arteriole occlusion was directly related to axonal swelling from papilledema. LYIl A. Sedwick, M. D. The Optic Neuritis Treatment Trial. Implications for Clinical Practice. Beck RW. Arch Ophthalmol 1992; 110: 331- 2 ( Mar). [ No reprint information given.] . This editorial summarizes the results of the OptIc Neu. ntIs Treatment Trial which was fully reported In the New Ellglalld / oumal of Medicille February 27, 1992 ( v. 326, pp. 581- 8). Between 1988 and 1991, 457 patients were randomized to three groups: ( 1) placebo, ( 2) oral prednisone only, and ( 3) Intravenous methylprednisolone for 3 days, followed. by 11 days of oral prednisone. The group recelvIn? oral prednisone had excess recurrent optIc neUrItIs WIthin the first 6 months of follow- up' only the group with intravenous steroid had ~ slIghtly better outcome in terms of visual function at the end of 6 months. LYIl A. Sed, '. 0. |