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Show 52 LITERATURE ABSTRACTS The Effect of Omitting Botulinum Toxin from the Lower Eyelid in Blepharospasm Treatment. Frueh BR, Nelson CC, Kapustiak JF, Musch DC. Am J Ophthalmol 1988; 106: 45- 7 Guly). [ Reprint requests to Dr. B. R. Frueh, W. K. Kellogg Eye Center, 1,000 Wall St., Ann Arbor, MI48105.] The authors injected 11 patients with upper and lower eyelid botulism and 15 with upper lid botulism, lower lid saline. Relief of blepharospasm was equal in these groups and those who received no lower lid botulism had no postoperative diplopia, whereas 2 of 11 in the lower lid botulism group did. Lyn A. Sedwick, M. D. Ocular Syphilis in Patients with Human Immunodeficiency Virus Infection. Passo MS, Rosenbaum JT. Am J Ophthalmol 1988; 106: 1- 6 ( July). [ Reprint requests to Dr. M. S. Passo, Department of Ophthalmology, L467, Oregon Health Sciences University, 3181 S. W. Sam Jackson Park Rd., Portland, OR 97201.] Three men presenting with uveitis and various other posterior or adnexal signs of inflammation ( retinitis, optic disk edema, etc.) are discussed. In two, the correct diagnosis of secondary syphilis with neurosyphilis was not made initially, and all patients were human immunodeficiency virus ( HIV) positive. All had homosexual or intravenous drug use history and systemic signs or symptoms ( lymphadenopathy, rash). This article is terribly important to underscore not only the importance of considering syphilis early in any patient with uveitis, but also the very real resurgence of this disease in the presence of HIV positivity. Lyn A. Sedwick, M. D. Subperiosteal Inflammation of the Orbit: A Bacteriological Analysis of 17 Cases. Harris GJ. Arch Ophthalmol 1988; 106: 947- 52 ( July). [ Reprint requests to Dr. G. J. Harris, Eye Institute, 8700 W. Wisconsin Ave., Milwaukee, WI 53226.] Seventeen cases of subperiosteal inflammation of the orbit secondary to sinusitis were analyzed. Numerous pathogens were found, often several in the same patients, and despite appropriate antibiotic use, surgical drainage was often required for cure. The reason for these findings and suggested specific strategy for dealing with these patients are well discussed. Lyn A. Sedwick, M. D. Visual Evoked Potentials to Multiple Temporal Frequencies: Use of the Differential Diagnosis of Optic Neuropathy. Bobak P, Friedman R, Brigell M, Goodwin J, Anderson R. Arch Ophthalmol 1988; 106: 936-- 40 Guly). [ Reprint requests to Dr. P. Bobak, Eye and Ear Infirmary, 1855 W. Taylor St., Chicago, IL 60612.] The authors tested patients with healed optic neuritis, thyroid eye disease with minimal clinical evidence of optic neuropathy, pseudotumor cerebri, and controls with visual evoked potentials while varying stimulation frequency. Although patients with thyroid eye disease acted like control and pseudotumor patients when latency was measured with I- Hz stimulation, they were more like optic neuritis eyes when 8- Hz phase to 4- Hz stimulation was measured. The authors wanted to increase the ability of pattern visual evoked potentials to differentiate among optic neuropathies and feel the technique they describe can do this. Lyn A. Sedwick, M. D. Asymptomatic Physiologic Hyperdeviation in Peripheral Gaze. Slavin ML, Potash SO, Rubin SE. Ophthalmology 1988; 95: 778- 81 ( June). [ Reprint requests to Dr. M. 1. Slavin, Department of Ophthalmology, Long Island Jewish Medical Center, New Hyde Park, NY 11042.] The authors studied 61 adult volunteers with no ocular or other history likely to account for strabismus and found that 47 ( 77%) had a hyperdeviation of 2 or more prism diopters in 1 or more of 9 positions of gaze. Most hyperdeviations were found in the adducted eye in upgaze, which is consistent with inferior oblique overaction. Only one patient had a hyperdeviation in primary position. Most patients did appreciate diplopia in the position of |