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Show LITERATURE ABSTRACTS 149 Malignant Lymphoma of the Ocular Adnexa Associated with the Benign Lymphoepithelial Lesion of the Parotid Glands. Report of Two Cases. Font RL, Laucirica R, Rosenbaum PS, Patrinely JR, Boniuk M. Ophthalmology 1992;99:1582-7 (Oct). [Reprint requests to Dr. R. L. Font, Ophthalmic Pathology Laboratory, Cullen Eye Institute, Baylor College of Medicine, Houston, TX 77030.] Two patients with malignant orbital lymphoma and related benign lesions involving parotid glands are discussed. Neither had Sjogren syndrome and the authors believe theirs is the first report of "malignant lymphoma of the ocular adnexa occurring in patients with a benign lymphoepithelial lesion of the parotid glands." Lyn A. Sedwick, M.D. Orbital Lymphangioma. Correlation of Magnetic Resonance Images and Intraoperative Findings. Kazim M, Kennerdell JS, Rothfus W, Marquardt M. Ophthalmology 1992;99:158~94 (Oct). [Reprint requests to Dr. M. Kazim, Edward S. Harkness Eye Institute, 635 W. 165 St., New York, NY 10032.] The authors extensively report their experience with magnetic resonance imaging in the management of 12 patients with orbital lymphangiomas. Lyn A. Sedwick, M.D. Malignant Peripheral Nerve Sheath Tumor of the Orbit in a 15-Month-Old Child. Nine-year Survival After Local Excision. Eviatar JA, Hornblass A, Herschorn B, Jakobiec FA. Ophthalmology 1992; 99:1594-9 (Oct). [Reprint requests to Dr. A. Hornblass, 130 E. 67 St., New York, NY 10021.] A 15-month-old boy had excision of an orbital tumor which proved to be a malignant peripheral nerve sheath tumor. He was followed without further intervention for 9 years and had no evidence of recurrent tumor. The authors argue for conservative management in such cases if the initial tumor is thought to be completely excised. Lyn A. Sedwick, M.D. A New Classification of Superior Oblique Palsy Based on Congenital Variations in the Tendon. Helveston EM, Krach 0, Plager DA, Ellis FD. Ophthalmology 1992;99:1609-15 (Oct). [Reprint requests to Dr. E. M. Helveston, 702 Rotary Circle, Indianapolis, IN 46202.] The authors note that often (87%) a structural abnormality of the superior oblique tendon is present at surgery in patients with congenital palsy, whereas such abnormalities are rare (8%) in acquired palsies. They define several different types of anomalous tendons based on their surgical observations and suggest that surgery may need to be custom-tailored to whatever specific tendon anomaly may be found. Lyn A. Sedwick, M.D. Multiple Cranial Neuropathies: Presenting Signs of Systemic Lymphoma. Newman NJ. Surv OphthalmolI992; 37:125-9 (Sept-Oct). [Reprint requests to Dr. N. J. Newman, Neuro-Ophthalmology Unit, Emory Eye Center, 1327 Clifton Rd., N.E., Atlanta, GA 30322.] A patient is described who four years after liver transplantation presented with multiple ocular motor nerve palsies, right and left-sided, and an upper extremity motor neuropathy. Lumbar puncture x 2, neuroimaging, and total body computed tomography failed to disclose an underlying disorder; however, sural nerve biopsy showed endoneurial perivascular infiltration with lymphoid cells consistent with Burkitt's-type lymphoma. This case demonstrates the lengths to which one may need to go to diagnose systemic lymphoma with neural infiltration in a patient who is immunosuppressed and presents with cranial neuropathy. Lyn A. Sedwick, M.D. Disc Swelling: A Tall Tail? Matzkin DC, Slamovits TL, Genie I, Bello J. Surv Ophthalmol 1992;37: 130-6 (Sept-Oct). [Reprint requests to Dr. T. L. Slamovits, Montefiore Medical Center, 111 East 210 St., Bronx, NY 10467.] The authors discuss a patient who presented with moderate visual loss and optic atrophy, right JClin Neuro-ophthalmol, Vol. 13, No.2, 1993 |
