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Show Journal of Clinical Neuro- ophthalmology 10( 4): 293- 303. 1990. Literature Abstracts Lyme Disease Appears to Have Many Ocular Manifestations. Smith JL. Arch Ophthalmol 1990; 108: 337 ( Mar). [ No reprint information given.] Dr. Smith gives a succinct but complete reply to the question " What is the best laboratory work- up available at this time in a patient suspected to have Lyme disease?" and recommends a " LymeTreponemal Panel." Lyn A. Sedwick, M. D. Combined Superior Oblique Paresis and Brown's Syndrome After Blepharoplasty. Neely KA, Ernest JT, Mottier M. Am JOphthalmol1990; 109: 347- 8 ( Mar). [ Reprint requests to Dr. J. T. Ernest, 939 E. 57th St., Chicago, IL 60637.) Acquired Brown's Syndrome After Peribulbar Anesthesia. Erie JC Am JOphthalmol1990; 109: 34950 ( Mar). [ Reprint requests to Dr. J. C Erie, Mayo Clinic, 200 First St. S. W., Rochester, MN 55905.) These two articles discuss patients who received superonasal orbital injections of anesthetic during ocular or lid surgery, and postoperatively developed diplopia. One patient had a combination of superior oblique paresis and restriction and the other simply restriction ( Brown's), and neither had complete spontaneous resolution with time. Lyn A. Sedwick, M. D. Bilateral Postinfectious Optic Neuritis and Intravenous Steroid Therapy in Children. Farris BK, Pickard OJ. Ophthalmology 1990; 97: 339- 45 ( Mar). [ Reprint requests to Dr. B. K. Farris, University of Oklahoma, Dean A. McGee Eye Institute, 608 Stanton 1. Young Blvd., Oklahoma City, OK 73104.] The authors viewed six pediatric cases of acute bilateral optic neuritis in the setting of recent gas- 293 © 1990 Raven Press, Ltd., New York trointestinal or upper respiratory illness. Five of six had other neurologic symptoms, three had demyelinating lesions on magnetic resonance scanning, and three had abnormal lumbar puncture results. All were treated with intravenous corticosteroids and two months of oral taper, and all recovered 20/ 40 or better visual acuity. The authors review the literature and note that there is no proof of the benefit of corticosteroids. In all of their cases, however, improvement of vision was coincident with corticosteroid use, leading them to endorse such treatment in the face of profound visual loss in this setting. Lyn A. Sedwick, M. D. Trazodone- Induced Palinopsia. Hughes MS, Lessell S. Arch Ophthalmol 1990; 108: 399- 400 ( Mar). [ Reprint requests to Dr. S. Lessell, 243 Charles St., Boston, MA 02114.] The authors report three patients who experienced persistant images while on the antidepressant trazodone hydrochloride ( Desyrel) therapy, which remitted off the drug. The manufacturer of the drug has received previous reports of this phenomenon occurring with the drug's use. Lyn A. Sedwick, M. D. Spontaneous Visual Recovery From Traumatic Optic Neuropathy After Blunt Head Injury. Wolin MJ, Lavin PJM. Am J Ophthalmol 1990; 109: 430- 5 ( Apr). [ Reprint requests to Dr. P. J. M. Lavin, 2100 Pierce Ave., Room 351, Nashville, TN 37212.) Four patients are reported who had improvement from no light perception vision following blunt forehead trauma, one without surgery or corticosteroids, and three with only " normal dose," i. e., not megadose corticosteroids. Final visual acuity ranged from 20/ 15 to 20/ 200 ( the case report itself says " 21200," but elsewhere in the article it is 20/ 200 and significant visual field plot- |
