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Show LITERATURE ABSTRACTS 71 Primary Liposarcoma of the Orbit: Problems in the Diagnosis and Management of Five Cases. Jakobiec FA, Rini F, Char 0, Orcutt J, Rootman J, Baylis H, Flanagan J. Ophthalmology 1989; 96: 180- 91 ( Feb). [ Reprint requests to Dr. F. A. Jakobiec, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114.] Five cases of primary liposarcoma of the orbit are reviewed, with attention to clinicopathological features and diagnostic studies and treatment. Computerized tomography was done in all, ultrasound and magnetic resonance imaging in some. The authors recommend excision and postoperative radiation therapy routinely and orbital exenteration only for postsurgical failures or when there is concern about direct spread from the orbit. The pathology of these lesions is well discussed. Lyn A. Sedwick, M. D. Bipolaris hawaiiensis- caused Phaeohyphomycotic Orbitopathy: A Devastating Fungal Sinusitis in an Apparently Immunocompetent Host. Maskin SL, Fetchick RJ, Leone CR Jr., Sharkey PK, Rinaldi MG. Ophthalmology 1989; 96: 175- 9 ( Feb). [ Reprint requests to Dr. S. L. Maskin, Bascom Palmer Eye Institute, Box 016880, Miami, FL 33101.] An immunocompetent 24- year- old man developed bilateral visual loss attributed to optic neuritis that was unsuccessfully treated with corticosteroids after an initially negative result from a computerized tomographic scan. He was subsequently found to have sinusitis with orbital extension that yielded the fungus Bipolaris hawaiiensis. His rocky clinical course included relapse after amphotericin treatment and he became totally blind in both eyes. This fungus has been previously reported to cause sinusitis with orbital extension in another immunocompetent host and the authors warn that " ophthalmologists must be aware of the virulence of these darkly pigmented fungi and their ability to devastate orbital structures from a contiguous sinusitis. " Lyn A. Sedwick, M. D. Relative Afferent Pupillary Defect Induced by Patching. Lam BL, Thompson HS. Am JOphthalmol 1989; 107: 305- 6 ( Mar). [ Inquiries to Dr. B. L. Lam, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.] Occlusion- Induced Contralateral Afferent Pupillary Defect. DuBois LG, Sadun AA. Am JOphthalmol 1989; 107: 306- 7 ( Mar). [ Inquiries to Dr. A. A. Sadun, Department of Ophthalmology, University of Southern California, 1355 San Pablo Street, Los Angeles, CA 90033.] These two articles describe situationsexperimental in the first article and clinical in the second- in which patching or closing one eye will cause a transient afferent pupillary defect from asymmetric retinal bleaching. The authors of the second article caution clinicians to recheck pupils after several minutes of equal retinal bleaching in a patient with complete ptosis. Lyn A. Sedwick, M. D. Bilateral Central Retinal Artery Occlusions, Disk Drusen, and Migraine. Newman NJ, Lessell S, Brandt EM. Am J Ophthalmol 1989; 107: 236- 40 ( Mar). [ Reprint requests to Dr. N. J. Newman, 243 Charles Street, Boston, MA 02114.] A 33- year- old woman with migraine and a previous central retinal artery occlusion, possibly ophthalmic artery occlusion, in her left eye at age 25 presented with a central retinal artery occlusion in the right eye. The authors postulate " the combination of bilateral [ disk] drusen and migraine may have contributed to the occurrence of bilateral sequential central retinal artery occlusion." Lyn A. Sedwick, M. D. Transient Comitant Esotropia in a Child with Migraine. Slavin ML. Am JOphthalmol1989; 107: 190- 1 ( Feb). [ Inquiries to Dr. M. L. Slavin, Department of Ophthalmology, Long Island Jewish Medical Center, New Hyde Park, NY 11042.] A lO- year- old boy with migraine headaches had two episodes of a small- angle comitant esotropia and diplopia witnessed by the author after a headache. Examination was otherwise normal and all findings were normal after the episodes. Lyn A. Sedwick, M. D. I Clin Neuro- ophthalmol, Vol. 10, No. 1, 1990 |
