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Show fOUrnJll of CliniCilI Neuro- ophthalmology ! O( 1): 70- 72. 1990. Literature Abstracts Acute Macular Neuroretinopathy. Miller MH, Spalton OJ, Fitzke FW, Bird AC. Ophthalmology 1989; 96: 265- 9 ( Feb). [ Reprint requests to Dr. M. H. Miller, Moorfields Eye Hospital, City Road, London ECIV 2PD, England.] The authors report five cases of this rare disorder that appears mainly in young women and causes paracentral scotomas corresponding to irregular dark areas in the maculae. This syndrome seems to occur with or after systemic, probably viral, illness and generally the field defects improve with time. Lyn A. Sedwick, M. D. Isolated Metastasis to Optic Nerve from Medulloblastoma. Garrity JA, Herman DC, Dinapoli RP, Waller RR, Campbell RJ. Ophthalmology 1989; 96: 207- 10 ( Feb). [ Reprint requests to Dr. J. A. Garrity, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.] A 19- year- old man was found to have a cerebellar medulloblastoma that was treated with gross total resection and radiation therapy. Unilateral visual loss occurred 28 months later secondary to a biopsied optic nerve sheath metastasis. He died of metastatic disease 20 months later. Lyn A. Sedwick, M. D. Bilateral Idiopathic Inflammation of the Optic Nerve Sheaths: Light and Electron Microscopic Findings. Margo CE, Levy MH, Beck RW. Ophthalmology 1989; 96: 200- 6 ( Feb). [ No reprint information given.] The authors report a 68- year- old woman with gradual bilateral loss of vision, whose radiologic studies showed thickened optic nerves in the posterior orbit. Biopsy of one nerve revealed a necrobiotic, granulomatous inflammation with vasculifie ~.•;', ,',:' re ( pund. The patient 70 © 1990 Raven Press. Ltd .. New York had no clinical or laboratory evidence of any other disease known to affect the optic nerves. Thus, a diagnosis of idiopathic inflammatory syndrome of the orbit was made. Lyn A. Sedwick, M. D. Visual Outcome After Surgical Removal of Craniopharyngiomas. Repka MX, Miller NR, Miller M. Ophthalmology 1989; 96: 195- 9 ( Feb). [ Reprint requests to Dr. M. X. Repka, BI- 35 Wilmer, Johns Hopkins Hospital, Baltimore, MD 21205.] Thirty patients with craniopharyngioma, 12 less than 18 years of age and 18 more than 18 years of age, were examined pre- and postoperatively at Johns Hopkins Neuro- ophthalmic Unit between 1975 and 1987. Patients younger than 18 years had slightly worse visual dysfunction on presentation than those who were older, and the authors found no improvement in visual function over that achieved in the first month postoperatively. Also, the visual improvement postoperatively with these tumors is less than that with pituitary adenomas or suprasellar meningiomas. Lyn A. Sedwick, M. D. Macular Abnormalities in Papilledema from Pseudotumor Cerebri. Gittinger JW Jr., Asdourian GK. Ophthalmology 1989; 96: 192- 4 ( Feb). [ Reprint requests to Dr. J. W. Gittinger, Jr., University of Massachusetts Medical Center, 55 Lake Avenue North, Worcester, MA 01655.] Three patients with pseudotumor cerebri developed mottled macular pigmentation and choroidal folds. Two initially had macular star figures in addition to papilledema. The authors advise that " previous papilledema should be considered in the differential diagnosis of macular pigmentation." Lyn A. Sedwick, M. D. |
