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Show / 01/",,, 1 of Clill/ cal N" l/ nl- tl" hthlllll/ o! oXY I 111): 70- 73, 1991. Literature Abstracts Tumors Metastatic to the Orbit: A Changing Picture. Goldberg RA, Rootman J, Cline RA. Surv Ophthalmol 1990; 35: 1- 24 ( July- Aug). [ Reprint requests to Dr. R. A. Goldberg, Jules Stein Eye Institute, Los Angeles, CA 90024- 1771.] This easily read article is a veritable tour de force on the subject, reviewing the authors own cases as well as all (??!) cases ever published in the literature. Excellent graphics and tables quickly present statistical information, High- quality computerized tomographic and clinical photographs are included. The discussion of diagnostic pitfalls, especially the most common misdiagnoses, is quite good and the article throughout strives to see these patients through the eyes of the ophthalmologist who will first examine them and direct the workup. A really nice reference article in every respect. Lyn A. Sedwick, M. D. Optic Nerve Involvement Associated with the Multiple Evanescent White- Dot Syndrome. Dodwell DG, Jampol LM, Rosenberg M, Berman A, Zaret CR. Ophthalmology 1990; 97: 862- 8 ( July). [ Reprint requests to Dr. L. M. Jampol, 303 E. Chicago Ave., Chicago, IL 60611.] Described in detail are five patients who demonstrated unilateral or bilateral optic nerve dysfunction in association with multiple evanescent white- dot syndrome. All resolved without treatment. The authors discuss this interesting condition and its potential for confusion with optic neuritis in young patients. Lyn A. Sedwick, M. D. The Fixed and Dilated Pupils of Premature Neonates. Isenberg SJ, Molarte A, Vazquez M. Am J Ophtha/ mol 1990; 110: 168- 71 ( Aug). [ Reprint requests to Dr. 5, J. Isenberg, Department of Ophthalmology, Harbor/ UCLA Medical Center, 1000 W. Carson St., Torrance, CA 90509.] The authors examined weekly the pupils of 30 . " r:;, ip!.., il(, C: They found that the mean size of 70 © 1991 Raven Press, Ltd., New York pupils became smaller between 26 weeks postconceptional age to 29 weeks postconceptional age. Also, the pupils did not constrict to light until a mean age of 30.6 weeks postconceptional age. The authors concluded that " mydriasis should not be considered indicative of a central nervous system disorder, and a pupil unresponsive to light should not be considered suggestive of blindness until a preterm infant reaches at least 32 weeks postconceptional age." Lyn A. Sedwick, M. D. Botulinum Toxin Injections in the Treatment of Seventh Nerve Misdirection. Putterman AM. Am J OphthalmoI1990; 110: 205- 6 ( Aug). [ Inquiries to Dr. A. M. Putterman, 111 N. Wabash Ave., Suite 1714, Chicago, IL 60602.] A 28- year- old woman with previous Bell's palsy and misdirection of the seventh nerve had lid narrowing on that side with smiling but lid retraction following 10% phenylephrine eyedrops, an indication that a pure ptosis repair surgical procedure would cause lid retraction when not smiling. She achieved a nice cosmetic result, smiling and not, with botulism injection into the right cheek and 5 sites in the upper and lower lids. Although she did well for 3 months without repeat injection, Dr. Putterman predicts she would require periodic ( every 4 to 8 months) re- injection of botulism to maintain this result. Lyn A. Sedwick, M. D. Letters to the Editor regarding " Optic Nerve Sheath Decompression May Improve the Progressive Form of Nonarteritic Ischemic Optic Neuropathy." 55 Hayreh; Rl Kellen; WB Wilson; E Mutlukan, JF Cullen; Rl Manor. Replies by RC Sergott, MS Cohen, TM Bosley, PJ Savino. Arch Ophthalmol 1990; 108: 1O6~ ( Aug). [ No reprint information given.] Most of these letters critique the article by Dr. Sergott et aI., published preViously in the Archives //---------'" |
