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Show Journal of Clinical Neuro- ophlhalmology lU2); 125- 135. 1991. Literature Abstracts A Simple Method for Detection of Hemianopsia or Quadrantanopsia. Hahnenberger, R. Am' Ophthalmol 1990; 110: 432- 3 ( Oct). [ Inquiries to Dr. R. Hahnenberger, Department of Ophthalmology, University Hospital, S- 751 85 Uppsala, Sweden.] The author reports the use of a large prism rotated in front of one eye while the patient fixes on a flashlight one meter away. In a patient with a dense visual field defect, diplopia will not be appreciated when the image projects into the blind field. The author feels that this is a handy test to use at bedside in patients in whom " conventional confrontation tests are difficult to perform." Lyn A. Sedwick, M. D. Progressive Optic Atrophy and the Primary Antiphospholipid Antibody Syndrome. Gerber SL, Cantor LB. Am , Ophthalmol 1990; 110: 443- 5 ( Oct). [ Reprint requests to Dr. Louis Cantor, 702 Rotary Circle, Indianapolis, IN 46202.] A 63- year- old woman had uveitis and progressive optic atrophy. Work- up was normal, including antinuclear antibodies and magnetic resonance scanning. Eighteen months later she was found to have positive anticardiolipin antibody. The authors feel that other causes of progressive optic atrophy were excluded in this patient and attribute her optic atrophy to a primary antiphospholipid antibody syndrome. Lyn A. Sedwick, M. D. Generalized Giant- Cell Arteritis With Coronary Artery Involvement and Myocardial Infarction. Hupp SL, Nelson GA, Zimmerman LE. Arch OphthalmoI1990; 108: 1385- 7 ( Oct). [ No reprint information given.] The authors report an 82- year- old woman with giant- cell arteritis who died the ~ ay. after ~ temporal artery biopsy from a myocardIal mfarction. Au- © 1991 Raven Press. ltd.• New York topsy demonstrated giant- cell inflammation in the coronary arteries. This rare, but potentially fatal, involvement of extracranial vessels with giant- cell arteritis should be remembered by ophthalmologists caring for these patients. Lyn A. Sedwick, M. D. Sixth Nerve Palsy as the Initial Manifestation of Sarcoidosis. Sachs R, Kashii S, Burde RM. Am , OphthalmoI1990; 110: 438- 40 ( Oct). [ Inquiries to Dr. Ronald Burde, Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E. 210th Street, Bronx, NY 10467.] A 25- year- old woman with iritis and a sixth nerve palsy was found to have sarcoidosis ( diagnosed from positive bronchoscopic biopsy and elevated angiotensin converting enzyme, among other tests). Her spinal tap was negative, and she responded to topical and oral steroid therapy. Lyn A. Sedwick, M. D. Botulinum vs Adjustable Suture Surgery in the Treatment of Horizontal Misalignment in Adult Patients Lacking Fusion. Carruthers JDA, Kennedy RA, Bagaric C. Arch Ophthalmol 1990; 108: 1432- 5 ( Oct). [ Reprint requests to Dr. J. D. A. Carruthers, Suite 210, 2730 Commercial Drive, Vancouver, British Columbia, Canada V5N 5P4.] The authors compared adult patients with esotropia or exotropia of greater than 10 prism diopters who were treated with botulism injections or adjustable suture surgery. Although the numbers were small ( 30 patients, total) at six- month followup, 10 of 13 surgical patients, but only 5 of 17 botulism patients, had residual deviations measuring less than or equal to 10 prism diopters. Several SUbgroups are analyzed, but it seems that larger numbers would be required for meaningful conclusions. Lyn A. Sedwick, M. D. |