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Show 146 LITERATURE ABSTRACTS Indomethicin for the Treatment of Idiopathic Orbital Myositis. Noble AG, Tripathi RC, Levine RA. Am JOphthalmoI1989; 108: 336- 8 ( Sept). [ Inquiries to Dr. R. C. Tripathi, Eye Research Laboratories, University of Chicago, 939 E. 57th Street, Chicago, IL 60637.] The authors report a 32- year- old black woman with recurrent presumed orbital pseudotumor ( no biopsy) who had originally responded to prednisone and with several recurrences but refused further corticosteroid therapy because of unacceptable side effects. She was successfully treated with topical corticosteroid drops, cycloplegia, and indomethicin. Lyn A. Sedwick, M. D. The Friction Sweat Test as a New Method for Detecting Facial Anhidrosis in Patients with Horner's Syndrome. Rosenberg ML. Am JOphthalmol 1989; 108: 443- 7 ( Oct). [ Reprint requests to Dr. M. L. Rosenberg, Department of Neurology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814- 4799.] A simple forehead sweat test using a prism bar is described that in this series corresponded in all but one case to the standard starch- iodine test, when performed. Although the author believes this test might be useful in identifying which neuron is involved causing the Homer's syndrome, patients with central, first, or second order neuron were not always positive and four of 18 patients with third order neuron Homer's were positive, which seems to confound the clinical application of this quick test. Lyn A. Sedwick, M. D. Severe Retinal Vaso- occlusive Disease Secondary to Procainamide- induced Lupus. Nichols q, Mieler WF. Ophthalmology 1989; 96: 1535-- 40 ( Oct). [ Reprint requests to Dr. W. F. Mieler, Eye Institute, Medical College of Wisconsin, 8700 West Wisconsin Avenue, Milwaukee, WI 53226.] A 66- year- old man with bilateral retinal vasoocclusions was found to have a positive antinuclear antibody test. probably secondary to procain-amide use. He improved on corticosteroid therapy. Lyn A. Sedwick, M. D. Extraocular Muscle Imbalance after Scleral Buckling Surgery. Smiddy WE, Loupe 0, Michels RG, Enger C, Glaser BM, deBustros S. Ophthalmology 1989; 96: 1485- 90 ( Oct). [ Reprint requests to Dr. R. G. Michels, Maumenee 127, 600 N. Wolfe Street, Baltimore, MD 21205.] This is a prospective study of 76 eyes in 69 patients undergoing scleral buckling procedure. Measureable limitation of ductions was present in 40 ( 73%) of 55 patients in whom full measurements could be obtained but significant, primary position strabismus in only 12 ( 23%). All 12 patients had an encircling element, as opposed to radial sponge only. This article is discussed by Marilyn Mets, who faults the variable follow- up time in determining final motility status but concludes that the encircling element probably causes the restrictive fibrosis that leads to strabismus, which is what the authors contend. Lyn A. Sedwick, M. D. Brightness Sense and the Relative Afferent Pupillary Defect. Lam BL, Thompson HS. Am JOphthalmol 1989; 108: 462- 3 ( Oct). [ Inquiries to Dr. B. L. Lam, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.] Twenty- four patients were tested for brightness sense versus a relative afferent pupillary defect. Consistently the brightness defect was less than afferent defect and the authors conclude that testing brightness sense is only a " rough estimate" of an afferent defect and should be used only when it is not possible to directly measure an afferent pupillary defect. Lyn A. Sedwick, M. D. Pupillary Dilatation with Monocular Occlusion as a Sign of Nonorganic Oculomotor Dysfunction. Newman NJ, Lessell S. Am J Ophthalmol 1989 |