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Show 214 LITERATURf ABSTRACTS visual fields were done postoperatively. Thus, while the objective in optic nerve sheath fenestration may generally be to prevent further visual loss, this study suggests that visual field improvement is possible following this surgery in this disease. Lyn A. Sedwick, M. D. Ocular Motor Abnormalities From Head Trauma. Baker RS, Epstein AD. Surv Ophthalmol 1991; 35: 245- 67 Gan- Feb). [ Reprint requests to Dr. R. S. Baker, University of Kentucky, Department of Ophthalmology, 801 Rose Street, Lexington, KY 40536- 0223.] The authors review " all aspects of head and face trauma that can lead to ocular motility disturbances." The article has very nice clinical photographs, drawings, and radiographic pictures, but suffers slightly from a lack of magnetic resonance imaging. A good reference for anyone who evaluates ocular motility in patients acutely or nonacutely after head or facial trauma. Lyn A. Sedwick, M. D. Management of Blow- out Fractures of the Orbital Floor. Editorial. Dutton JJ. Early Repair of Selected Injuries. Manson PN, Iliff N. A Conservative Approach. Putterman AM. Surv Ophthalmol 1991; 35: 279- 98 Gan- Feb). [ Reprint requests to Dr. P. N. Manson, Plastic Surgery, MIEMSS, 22 S. Greene Street, Baltimore, MD 21201, and Dr. A. M. Putterman, 111 North Wabash Ave., Suite 1714, Chicago, IL 60602.] This trio of articles presents interesting arguments regarding early and late management of these patients. The editorial by Dr. Dutton tries to reconcile the somewhat different views of the other authors and suggests certain features of blow- out fracture which would warrant early surgical repair. Lyn A. Sedwick, M. D. Visual Loss with Dancing Extremities and Mental Disturbances. Salmon JF, Pan EL, Murray ADN, with comments by Warren F, Newman NJ. Surv ' 1"""/( 7' 117011991; 35: 299- 306 Gan- Feb). [ Reprint re- I elin Nt? uro- ophthIJllfl. . quests to Dr. J. F. Salmon, Department of Ophthalmology, Medical School, Observatory, Cape Town, South Africa 7925.] A 16- year- old girl described in this CPC had right eye- then subsequent left eye- vasculitis which resulted in very poor vision. She developed a progressive neurologic disorder with personality change and involuntary movements of her arms. Computerized tomographic and magnetic resonance images were persistently negative. Spinal tap, electroencephalogram, and immunologic studies eventually supported the diagnosis of subacute sclerosing panencephalitis. The discussants review this disorder and note the importance of the ophthalmologist in recognizing this potential diagnosis in children and young adults with acquired retinal vasculitis or maculopathy. Lyn A. Sedwick, M. D. Visual Recovery in Patients With Optic Neuritis and Visual Loss to No Light Perception. Slamovits TL, Rosen CE, Cheng KP, Striph GG. Am J OphthalmoI1991; 111: 209- 14 ( Feb). [ Reprint requests to Dr. T. L. Slamovits, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E. 210th Street, Bronx, NY 10467.) The authors reviewed records of 151 patients with optic neuritis and found 12 who had " no light perception" at their nadir. Of these, 8 recovered 20/ 40 or better ( 5 with 20/ 20 or better); 4 had 20/ 400 acuity with intact peripheral visual fields. All of these patients were treated with corticosteroids, most with intravenous high dose. The intent of this study was to show that even with very poor initial visual function, good recovery can be achieved. Lyn A. Sedwick, M. D. Optic Nerve Head and Nerve Fiber Layer in Alzheimer's Disease. Tsai CS, Ritch R, Schwartz B, Lee SS, Miller NR, Chi T, Hsieh FY. Arch OphthalmoI1991; 109: 199- 204 ( Feb). [ Reprint requests to Dr. R. Ritch, Glaucoma Service, The New York Eye and Ear Infirmary, New York, NY 10003.] Twenty- six patients with Alzheimer's disease versus 30 age- matched controls were examined by |