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Show lOUI7lQ/ of CliniCil/ Neuro- ophthalmology 10( 3): 226-- 229, 1990. Literature Abstracts Orbital Myositis with Lyme Disease. Seidenberg KB, Leib ML. Am J OphthalmoI1990; 109: 13- 6 Gan). [ Reprint requests to Dr. M. L. Leib, Director, Orbit and Plastics Service, Edward S. Harkness Eye Institute, Columbia- Presbyterian Medical Center, 635 W. 165th St., New York, NY 10032.] A case of orbital myositis in a 5- year- old following classic clinical signs and symptoms of Lyme disease is reported. Although no serologic tests to confirm the diagnosis were performed- the case occurred in 1980-- it seems very likely that the clinical diagnosis of Lyme disease is correct and that this diagnosis should be considered in some cases of orbital myositis. Lyn A. Sedwick, M. D. Corticosteroid- responsive Traumatic Optic Neuropathy. Lam BL, Weingeist TA. Am J Ophthalmol 1990; 109: 99- 101 Gan). [ Inquiries to Dr. B. L. Lam, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, lA, 52242.] An 18- year- old man with a pellet gun injury to the left orbit, with the pellet imaged at the orbital apex adjacent to the optic nerve, had an improvement in vision with intravenous dexamethasone ( 50 mg every 6 h). After switching to oral prednisone, 100 mg/ day, he complained of decreased vision and again had visual improvement with intravenous dexamethasone. The authors postulate that the patients had intracanalicular edema that responded to the high- dose corticosteroids. Lyn A. Sedwick, M. D. Multiple Orbital Neurofibromas Unassociated with Von Recklinghausen's Disease. Shields JA, Shields CL, Lieb WE, Eagle RC. Arch Ophthalmol 1990; 108: 80- 3 Gan). [ Reprint requests to Dr. J. A. Shields, Ocular Oncology Service, Wills Eye Hospital, Ninth and Walnut Sts., Philadelphia, PA 19107.] 226 © 1990 Raven Press, ltC' A 58- year- old man with a 1O- year history of orbital pain is presented. Computerized tomographic scanning disclosed three tumors of the orbital floor, intraconally and in the temporal fossa, which were removed and found to be neurofibromas. He had complete relief of his pain following surgery. The differential diagnoses for circumscribed orbital tumor( s) includes entities that are generally pain- free. Thus the authors recommend considering neurofibroma in any such lesion that is painful. Lyn A. Sedwick, M. D. Spontaneous Orbital Hemorrhage Associated with Idiopathic Inflammatory Pseudotumor. Linberg JV, Mayle M. Am J OphthalmoI1990; I09: 103- 4 Gan). [ Inquiries to Dr. J. V. Linberg, Department of Ophthalmology, West Virginia University School of Medicine, Morgantown, WV 26506.] A 4- year- old boy with clinical and computerized tomographic diagnosis of orbital pseudotumor was successfully treated with corticosteroids. He then had an orbital hemorrhage ( sudden severe proptosis, eyelid ecchymoses, decreased motility, greatly increased intraocular pressure, and decreased vision), which responded to emergency decompression. Subsequent magnetic resonance scanning showed no evidence of varix, lymphangioma, or tumor. Lyn A. Sedwick, M. D. Acute- Onset Brown's Syndrome Associated with Pansinusitis. Saunders RA, Stratas BA, Gordon RA, Holgate RC. Arch Ophthalmol 1990; 108: 5~ 0 Gan). [ Reprint requests to Dr. R. A. Saunders, Storm Eye Institute, 171 Ashley Ave., Charleston, SC 29425- 2236. Two children with acquired Brown's syndrome were found to have pansinusitis on plain x- ray or computerized tomography. One responded com- |