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Show Journal of Clil/ ical Neuro- ophthalmology 11( 31: 213- 216, 1991. Literature Abstracts Echographic Diagnosis of Dural CarotidCavernous Sinus Fistulas. Spector RH. Am JOphthalmol 1991; 111: 77- 83 ( Jan). [ Reprint requests to Dr. R. J. Spector, Suite 550, 980 Johnson Ferry Road, Atlanta, GA 30342.] Dr. Spector reports using echography to confirm expected enlargement of superior ophthalmic vein and rapid blood flow in patients with dural carotid- cavernous fistulae. This test, when it is available, may save the patient more expensive and invasive diagnostic imaging. Lyn A. Sedwick, M. D. Transesophageal Echocardiography for Detecting Mitral Valve Prolapse With Retinal Artery Occlusions. Greven CM, Weaver RG, Harris WR, Watts LE, Slusher MM. Am J Ophthalmol 1991; 111: 103- 4 ( Jan). [ Inquiries to Dr. C. M. Greven, Department of Ophthalmology, Wake Forest University Eye Center, 300 S. Hawthorne Road, Winston- Salem, NC 27103.] The authors report a patient with bilateral branch retinal artery occlusions in whom regular echocardiography disclosed no lesion but transesophageal techniques disclosed mitral valve prolapse. Lyn A. Sedwick, M. D. Protein S Deficiency and Bilateral Branch Retinal Artery Occlusion. Greven CM, Weaver RG, Owen J, Slusher MM. Ophthalmology 1991; 98: 33- 4 ( Jan). [ Reprint requests to Dr. C. M. Greven, Department of Ophthalmology, Wake Forest University School of Medicine, Winston- Salem, NC 27103.] At 38 weeks gestation, a diabetic 25- year- old woman presented with a macular branch retinal artery occlusion. Several days postpartum she had a branch retinal artery occlusion in the other eye. Initial work- up with blood testing, carotid Dop- 213 < 0 1991 Raven Press, Ltd., New York pIer, and echocardiography was negative. Further hematologic work- up initiated later, after a review of her family history disclosed deep venous thrombosis and stroke at early age, showed a decreased protein 5 level. The authors feel this deficiency to be the cause of the retinal artery occlusions, in spite of the confounding hypercoagulable potential of both diabetes and pregnancy. Lyn A. Sedwick, M. D. Primary Ocular Malignant Lymphoma Associated with the Acquired Immune Deficiency Syndrome. Schanzer MC, Font RL, O'Malley RE. Ophthalmology 1991; 98: 88-- 91 ( Jan). [ Reprint requests to Dr. R. L. Font, Cullen Eye Institute, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030.] A 42- year- old HIV- positive man presented with visual loss. He had cells in aqueous and vitreous as well as retinal lesions and disc edema in one eye. Vitrectomy disclosed large- cell lymphoma and work- Up showed a central nervous system lesion as well. The authors feel this is the first report of large- cell lymphoma ( also known as " reticulum cell sarcoma") with AIDS. Lyn A. Sedwick, M. D. Evaluation of Optic Nerve Sheath Fenestration in Pseudotumor Cerebri Using Automated Perimetry. Pearson PA, Baker RS, Khorram 0, Smith TJ. Ophthalmology 1991; 98: 99- 105 ( Jan). [ Reprint requests to Dr. R. S. Baker, Department of Ophthalmology, University of Kentucky, 800 Rose Street, Lexington, KY 40536- 0084.] Of 49 patients followed at the University of Kentucky between 1984 and 1988, 9 of these had optic nerve sheath fenestration in a total of 14 eyes. Most had clear improvement in automated visual fields ( Octopus 2000R, program 32), especially if visual loss was not severe preoperatively. Several |
