OCR Text |
Show Journal of Clinical Neuro- ophthalmology 12( 2): 129- 134, 1992. Literature Abstracts Long- Term Efficacy of Orbital Decompression for Compressive Optic Neuropathy of Graves' Eye Disease. Carter KD, Frueh BR, Hessburg TP, Musch DC. Ophthalmology 1991; 98: 1435- 42 ( Sept). [ Reprint requests to Dr. B. R, Frueh, W, K. Kellogg Eye Center, 1000 Wall Street, Ann Arbor, MI48105.] Treatment of Acute Graves' Orbitopathy. Kazim M, Trokel S, Moore S. Ophthalmology 1991; 98: 1443- 8 ( Sept). [ Reprint requests to Dr. M. Kazim, The Edward S. Harkness Eye Institute, 635 W. 165th Street, New York, NY 10032.] These two articles retrospectively review the efficacy of ( a) orbital decompression via the transantral approach for compressive optic neuropathy and of ( b) corticosteroids versus radiation therapy for optic neuropathy or other orbitopathy. In general, all of the therapies work in the short run, but radiation and surgery are much more likely to work on a long- term basis. Any of these therapies may fail in individual cases. In 50% of cases, corticosteroid therapy was followed by orbital decompression surgery, presumably for recurrent compressive optic neuropathy. Lyn A. Sedwick, M. D. Modified Optic Nerve Decompression in Patients with Functioning Lumboperitoneal Shunts and Progressive Visual Loss. Kelman SE, Sergott RC, Gioffi GA, Savino PI, Bosley TM, Elman MJ. Ophthalmology 1991; 98: 1449- 53 ( Sept), [ Reprint requests to Dr. S. E. Kelman, University of Maryland Hospital, Department of Ophthalmology, Neuro- Ophthalmology Service, 22 S. Greene Street, Baltimore, MD 21201.] The authors describe their technique in operating on patients with pseudotumor cerebri who had ongoing decreased visual function in spite of functioning lumboperitoneal shunts. The possible mechanisms of poor decompression of the optic 129 r~ r 1992 Raven Press, Ltd., New York nerve with lumboperitoneal shunting are explored. Lyn A. Sedwick, M. D. Disc Edema, Transient Obscurations of Vision, and a Temporal Fossa Mass. Katz B, with comments by Newman S, Wall M, Surv Ophthalmol 1991; 36: 133- 9 ( Sept- Oct). [ Reprint requests to Dr. B, Katz, Ophthalmology, Pacific Presbyterian Medical Center, 2340 Clay Street, San Francisco, CA 94115.] A 56- year- old woman had transient obscuration of vision in the right eye and then constant blurred vision. Her optic nerve head was swollen and had a nodular appearance. Magnetic resonance imaging demonstrated a nodular mass centered on the sphenoid bone. The discussants both recommend tissue sampling, and the author concludes with an extensive discussion of sarcoid, the biopsy- proven diagnosis, and the unusual nature of this case in which there was no other systemic or laboratory evidence of the disease. Lyn A. Sedwick, M. D. Poorly Differentiated Primary Orbital Sarcoma ( Presumed Malignant Rhabdoid Tumor): Radiologic and Histopathologic Correlation. Johnson LN, Sexton FM, Goldberg SH. Arch Ophthalmol 1991; 109: 1275- 8 ( Sept). [ Reprint requests to Dr. L. N. Johnson, Neuro- Ophthalmology Division, Mason Institute of Ophthalmology, University of Missouri- Columbia, Columbia, MO 65212.] A 47- year- old man with a several month history of visual loss and diplopia had an orbital tumor that was found to be a malignant rhabdoid tumor. The authors discuss this unusual presentation of a rare tumor. Lyn A. Sedwick, M. D. [CFoculartrauma] |