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Show LITERATURE ABSTRACTS 215 various techniques to assess nerve fiber damage. More patients with Alzheimer's had detectable nerve fiber damage and optic nerve cupping. LYIl A. Sedwick, M. D. Lipomatous Hamartoma of the Orbit. Brown HH, Kersten RC, Kulwin DR. Arch Ophthalmol 1991; 109: 240- 3 ( Feb). [ Reprint requests to Dr. H. H. Brown, Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205.] A patient with a lipomatous tumor of one orbit is presented. Clinical photos, computerized tomographic and magnetic resonance scans are given in this discussion of this rare orbital disorder. LYIl A. Sedwick, M. D. Hydatid Cyst of the Orbit. Lerner SF, Morales AG, Croxatto JO. Arch Ophthalmol 1991; 109: 285 ( Feb). [ No reprint information given.] The pictures in this photo essay, including magnetic resonance and computerized tomography of the orbits, are worth a look. Lyn A. Sedwick, M. D. Anterior Granulomatous Uveitis in Patients with Multiple Sclerosis. Lim JI, Tessler HH, Goodwin JA. Ophthalmology 1991; 98: 142- 5 ( Feb). [ Reprint requests to Dr. H. H. Tessler, 1855 West Taylor Street, Chicago, IL 60612.] The authors report six patients with granulomatous uveitis that they feel is a manifestation of multiple sclerosis. In two patients in their 50s, multiple sclerosis was not diagnosed until later, based on symptoms and magnetic resonance imaging. In one patient, the diagnosis of presumed multiple sclerosis was made from abnormal magnetic resonance only, which seems somewhat unusual. Although details of the diagnosis of multiple sclerosis in these patients is a little sketchy, adequate work- up for sarcoid, syphilis, and tuberculosis certainly was always negative in these patients. It seems clear that multiple sclerosis may be a cause of granulomatous uveitis, and the clear- cut symptoms of the neurology disorder may follow these eye findings. LYIl A. Sedwick, M. D. Strabismus Presenting after Cataract Surgery. Hamed LM. Ophthalmology 1991; 98: 247- 52 ( Feb). [ Reprint requests to Dr. L. M. Hamed, University of Florida College of Medicine, Department of Ophthalmology, Box J- 284, JHMHC, Gainesville, FL 32610- 0284.] Sixty- three patients seen at Bascom Palmer with strabismus following cataract surgery are reviewed. They were felt to fall into four categories: ( 1) strabismus disorder preceding cataract development and surgery; ( 2) disorders precipitated by prolonged monocular occlusion by the cataract; ( 3) surgical trauma to orbital soft tissue or inferior rectus muscle; and ( 4) disorders relating to aphakia! pseudo- aphakia and its optical correction. LYIl A. Sedwick, M. D. Clinical Characteristics and Treatment of Isolated Inferior Rectus Paralysis. von Noorden GK, Hansell R. Ophthalmology 1991; 98: 253- 7 ( Feb). [ Reprint requests to Dr. G. K. von Noorden, Ophthalmology Service, Texas Children's Hospital, Box 20269, Houston, TX 77225.] Twenty- one patients with isolated inferior rectus paralysis are analyzed and discussed. The three leading causes were trauma, congenital, and idiopathic. Dr. von Noorden discusses the sometimes unsuccessful " three step test" in these patients and why it is not the mainstay of diagnosis in his cases. LYIl A. Sedwick, M. D. Malignant Neoplasia of the Paranasal Sinuses Associated with Mucocele. Weaver DT, Bartley GB. Ophthalmology 1991; 98: 342- 6 ( Mar). [ Reprint requests to Dr. G. B. Bartley, Department of Ophthalmology, Mayo Clinic, 200 First Street, S. W., Rochester, MN 55905.] Seven patients with mucocele with orbital extension were found to have a coexistent malignant I Clin Neuro- ophthalmol, Vol. 11. No. 3, 1991 |
