| OCR Text |
Show 228 LITERATURE ABSTRACTS A previously advocated new scoring system to assess the field of single binocular vision in patients with diplopia is compared to the patients' own assessment of the amount of single binocular vision in daily activities. A fairly good correlation is achieved and then improved by slightly modifying the objective scoring system in various portions of the field that correlate more strongly to the patients' symptoms. Lyn A. Sedwick, M. D. The Dural Shunt Syndrome: I. Management of Glaucoma. Fiore PM, Latina MA, Shingleton BJ, Rizzo JF, Ebert E, Bellows AR. Ophthalmology 1990; 97: 56-- 62 Oan). [ Reprints requests to Dr. P. M. Fiore, Glaucoma Consultation Service, Massachusetts Eye and Ear Infirmary, Boston, MA 02114.] Four patients with dural shunts had glaucomatous complications that were successfully managed. Two patients were embolized and two were not before these complications developed. The authors discuss specific management of such cases when angle closure is present, when the angle is open, and with neovascular glaucoma. Lyn A. Sedwick, M. D. Accommodative Esotropia After Ocular and Head Injury. Pollard ZF. Am JOphthalmol1990; 109: 195-- 8 ( Feb). [ Reprint requests to Dr. Z. F. Pollard, 5455 Meridian Mark Rd., Ste. 220, Atlanta, GA 30342.] Four children with ocular injury ( severed lateral rectus muscle in two corneal laceration and hyphema one each) and one closed head trauma with sixth nerve palsy developed accommodative esotropia that was successfully treated with glasses. Lyn A. Sedwick, M. D. Horizontal Homonymous Sectoral Field Defect After Ischemic Infarction of the Occipital Cortex. Grossman M, Galetta SL, Nichols CW, Grossman RI. Am J Ophthalmol 1990; 109: 234- 6 ( Feb). [ Inquiries to Dr. M. Grossman, Department of Neurology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.] I Clin Neuro- ophthalmol, Vol. 10, No. 3, 1990 Unusual horizontally oriented and sornc- what incongruous visual field defects were found in a p~ tient without optic atrophy and in whom magnetic resonance scanning disclosed an abnormality in the occipital cortex consistent with infarction. Lyn A. Sedwick, M. D. Tonic Pupils as a Result of Botulism. Friedman OI, Fortanasce VN, Sadun AA. Am J Ophthalmol 1990; 109: 236- 7 ( Feb). [ Inquiries to Dr. A. A. Sadun, Department of Ophthalmology, Doheny Eye Institute, University of Southern California, 1355 San Pablo St., Los Angeles, CA 90033.] A 25- year- old lady developed botulism toxicity ( ophthalmoplegia and proximal muscle weakness) following bowel surgery, and several months later was found to have tonic pupils at an eye exam occasioned by a complaint of persistent pupil dilation and poor near vision. Lyn A. Sedwick, M. D. Intermittent Pupillary Dilatation Associated with Astrocytoma. Berreen JP, Vrabec MP, Penar PL. Am JOphthalmol1990; 109: 237- 9 ( Feb). [ Inquiries to Dr. M. P. Vrabec, 1 S. Prospect St., Burlington, VT 05401.] A patient complained of intermittent left pupil dilation lasting 1 min and confirmed by a nurse on one occasion. No other symptoms were reported and her examination was normal. Magnetic resonance scanning disclosed a left frontal tumor found to be astrocytoma. The others postulate that this frontal lobe lesion led to irritation of a sympathetic relay located in this region. Lyn A. Sedwick, M. D. Propranolol in the Treatment of Superior Oblique Myokymia. Tyler TO, Ruiz RS. Arch Ophthalmol 1990; 108: 175- 6 ( Feb). [ No reprint information given.] A 22- year- old lady with observed superior oblique myokymia did not respond to carbamazepine ( Tegretol) therapy, but 10 mg/ day propranolol ( In- |
