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Show ] ourruJ/ of Cii" ical Neuro- ophthalm% gy 9( 1): 51- 54, 1989. Literature Abstracts Letters to the Editor re: Megadose Corticosteroids for Optic Neuritis. Letters from TA Cox, M Wall, and reply by DL Rockwell and TC Spoor. Ophthalmology 1988; 95: 1005- 7 ( July), [ No reprint information given,] The first two letters critique a paper previously published in Ophthalmology ( Spoor TC, Rockwell DL Treatment of optic neuritis with intravenous megadose corticosteroids, Ophthalmology 1988; 95: 131- 4), reviewed in Journal of Clinical Neuroophthalmology. Drs. Spoor and Rockwell reply, and all of these letters help to diffuse the ill- founded authoritative impact the original paper may have had. Lyn A. Sedwick, M, D, Niacin Maculopathy. Millay RH, Klein ML, Illingworth DR Ophthalmology 1988; 95: 930- 6 ( July), [ Reprint requests to Dr, R H. Millay, Virginia Mason Medical Center, 1100 Ninth Ave., P. O, Box 900, Seattle, WA 9811}'] Four patients using 3- 4.5 g of niacin daily to lower serum cholesterol had visual symptoms ( blur, spokes around lights), minimal ( if any) decrease in visual acuity, and, in 3 of 4 patients, cystoid macular edema without leakage on fluorescein angiogram. All signs and symptoms resolved with cessation of niacin. Fifteen asymptomatic patients who were taking similar doses of niacin had no signs of maculopathy. This reversible complication of niacin therapy may occur in about 0.67% of patients using this increasingly popular cholesterollowering agent. Lyn A Sedwick, M. D. Optic Disk Drusen and Pseudotumor Cerebri. Reifler OM, Kaufman 01. Am J Ophthalmol 1988; 106: 95- 6 ( July). [ Inquiries to Dr, D. M. Reifler, 1000 E. Paris Ave. S. E., Grand Rapids, MI 49506.] 51 © 1989 Raven Press, Ltd., New York Two patients with headaches, disk edema, and optic disk drusen are presented. The point of the article seems to be that one should be careful not to dismiss the possibility of pathological disk edema in patients with optic nerve drusen. Lyn A. Sedwick, M. D. Accommodation and Convergence Insufficiency with Left Middle Cerebral Artery Occlusion. Ohtsuka K, Maekawa H, Takeda M, Uede N, Chiba S. Am J Ophthalmol 1988; 106: 60- 4 ( July). [ Reprint requests to Dr. K. Ohtsuka, Department of Ophthalmology, Sapporo Medical College, S. l, W. 17, Chou- ku, Sapporo 060, Japan.] A 31- year- old man had an acute left middle cerebral artery infarct with low density on computerized tomography near the sylvian fissure and putamen, without brainstem abnormality. The patient had convergence and accommodative insufficiency with normal pupillary light reflexes and no external ophthalmoplegia. Presumably, cortical control of convergence and accommodation were disturbed in this patient. Lyn A. Sedwick, M. D. Late Recurrence in Primary Orbital Rhabdomyosarcoma. Chestler RJ, Dortzbach RK, Kronish JW. Am J Ophthalmol 1988; 106: 92- 3 ( July). [ Reprint requests to Dr, R. K. Dortzbach, 600 Highland Ave., Madison, WI 53792.] A 20- year- old woman presented with an inferior orbital mass found to be rhabdomyosarcoma that had been initially treated with chemotherapy and radiation therapy. Nearly 7 years later, she had a nearby recurrence. This may be the latest documented recurrence of rhabdomyosarcoma reported in the literature. Lyn A. Sedwick, M. D. |