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Show 252 LITERATURE ABSTRACTS Botulinum Therapy for Apraxia of Eyelid Opening. Katz B, Rosenberg JH. Am JOphthalmol 1987;103:718-9 (May). [Inquiries to Dr. B. Katz, Neuro-ophthalmology Unit, Department of Ophthalmology, UCSD Eye Center M-018, La Jolla, CA 92093.] Yet another successful use of botulinum A toxin -injections into supraorbital frontalis muscle gave relief with duration similar to that achieved with blepharospasm patients. LYIl A. Sedwick, M.D. Acquired Brown's Syndrome Caused by Focal Metastasis to the Superior Oblique Muscle. Slavin ML, Goodstein S. Am JOplzthalmoI1987;103: 598 (April). [Inquiries to Dr. M. L. Slavin, Long Island Jewish Medical Center, New Hyde Park, NY 11042.] A patient with limited elevation of her right eye on adduction and minimal proptosis was found to have presumed metastasis to the superior oblique muscle from her breast carcinoma. A nice coronal computerized tomogram is presented. LYIl A. Sedwick, M.D. Spasm of the Near Reflex Associated with Organic Disease. Dagi LR, Chrousos GA, Cogan DC. Am J Ophthalmol 1987;103:582-5 (April). [Reprint requests to Dr. L. R. Dagi, Center for Sight, Georgetown University, 3800 Reservoir Road, N.W., Washington, DC 20007.] Seven patients with central nervous system disease (pituitary adenoma, head trauma, ArnoldChiari malformation, etc.) had spasm of the near reflex with minimal symptomatic disability. The authors contrast these patients with probable organically caused spasm to the more common functional patients with spasm of the near reflex. LYIl A. Sedwick, M.D. Corneal Edema Induced by Cold in Trigeminal Nerve Palsy. Thorgaard GL, Holland Ej, KrachIll<" ;' I 1,,/ r (1,"/III/il!II/,'! ]LJS7. )l13:6cll-6 (May). [Reprint requests to Dr. J. H. Krachmer, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.] A 34-year-old man with a 5 year history of coldinduced decreased vision in the right eye is discussed. Examination showed right fifth nerve paresis and, following placing the patient in a cold room for 2 h, his right cornea became edematous and vision was degraded. Computerized tomographic scan demonstrated a calcific lesion in the right middle temporal fossa which was totally resected and found to be a meningioma. Postoperatively, his corneal edema in the cold continued. The authors postulate faulty innervation of the corneal endothelial pump because of the meningioma but readily admit that there is no experimental data to confirm their hypothesis. Lyn A. Sedwick, M.D. Leber's Hereditary Optic Neuroretinopathy, a Maternally Inherited Disease. Nikoskelainen EK, Savontaus M-L, Wanne OP, Katila Mj, Nummelin KU. Arch Ophthalmol 1987;105:665-71 (May). [Reprint requests to Dr. E. K. Nikoskelainen, Department of Ophthalmology, Turku University Central Hospital (TYKS), 20520 Turku, Finland.] This important study of four pedigrees with several generations each in Finland helps to make good sense of a previously baffling inheritance pattern. The authors show that all offspring of women carriers, male and female, have some evidence ?f the disease albeit most often only a microanglOpathy on retinal examination which is asymptomatic. Moreover, there are cardiac conduction abnormalities which seem to be inherited with Leber's in these pedigrees. The authors contend ~hat. maternal inheritance through cytoplasmiC mitochondrial DNA is likely. Lyn A. Sedwick, M.D. Isolated Inferior Rectus Muscle Palsy from a Solitary Metastasis to the Oculomotor Nucleus. Pusateri Tj, Sedwick LA, Margo CEo Arch Ophthalmol 1987;105:675-7 (May). [Reprint requests to Dr. T. J. Pusat~ri: Sec~ion of Ophthalmology, Veterans Admimstration Hospital, 13000 Bruce B. Downs Blvd., Tampa, FL 33612.] |
