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Show 218 LITERATURf ABSTRACTS to flush out faking patients is always appreciated, especially a test like this that is quick and easy. Lyn A. Sedwick, M. D. Administration of Eyedrops in Facial Palsy. Rosenberg S. Am J Ophthalmol 1988; 106: 499- 500 ( Oct). [ Inquiries to Dr. S. Rosenberg, 301 Bridge Plaza North, Fort Lee, NJ 07024.] Dr. Rosenberg recommends that patients with facial palsy instill lubricating eyedrops under the upper eyelid with the head tilted downward so that they can be distributed evenly over the cornea. LYIl A. Sedwick, M. D. The Management of Optic Nerve Sheath Meningiomas. Kennerdell JS, Maroon JC, Malton M, Warren FA. Am JOphthalmoI1988; 106: 450- 7 ( Oct). [ Reprint requests to Dr. J. Kennerdell, Allegheny Ophthalmic and Orbital Center, 320 E. North Ave., Pittsburgh, PA 15212.] The authors review their experience with 38 patients ( 39 eyes) with optic nerve sheath meningiomas. Eighteen eyes were followed up by observation alone, six had radiation therapy only, 10 had surgery only, and five had surgery plus radiation therapy. The results are nicely tabulated ( e. g., initial and final visual function and the length of follow- up time are easily grasped in four tables), and the authors outline their rationale for differing treatment for differing circumstances. The attention to all details and the willingness of the authors to use all current treatment modalities makes this article particularly useful as a reference. Lyn A. Sedwick, M. D. Perspectives: The Expanding Ophthalmologic Spectrum of Lyme Disease. Aaberg TM. Am I OphtJralmol 1989; 107: 77- 80 ( Jan). [ Reprint requests to Dr. T. M. Aaberg, Department of Ophthalmology, Emnr\ TTni · · · · ( · rc. it u Cchoo! of Mtc · dicine, Atlanta, GA Pseudotumor Cerebri Syndrome Associated with Lyme Disease. Jacobson OM, Frens DB. Am JOphthalmoI1989; 107: 81- 2 ( Jan). [ Inquiries to Dr. D. M. Jacobson, Neuro- Ophthalmology Unit ( 4F), Marshfield Clinic, 1000 N. Oak Ave., Marshfield, WI 54449.] For those who would like to read four pages of no- nonsense information about Lyme disease and the eye, these are the pages. Previously reported neuro- ophthalmic manifestations- optic disk edema, seventh and other cranial nerve palsiesare discussed, as is a new case of pseudotumor cerebri in an 8- year- old girl that resolved with ceftriaxone treatment. LYIl A. Sedwick, M. D. Editor's Note: It sounds very, very much like Dr. Jacobson's 8- year- old girl with Lyme disease, bilateral choked discs, normal computed tomography of the head, 20/ 20 vision in each eye, and opening pressure of 360 mm at lumbar puncture, has pseudotumor cerebri. However, the spinal fluid had 97 lymphocytes ( 69% lymphocytes, 30% monocytes), with a normal protein of 28. If one considers the criteria for pseudotumor cerebri to be a normal spinal tluid, chemically and cytologically, but for increased pressure, then this is certainly an exception, because of the notable pleocytosis. The differential diagnosis between perineuritis and papilledema becomes difficult in such an instance. It sure is an interesting case, however! J. Lawton Smith, M. D. Intractable Diplopia after Vision Restoration in Unilateral Cataract. Pratt- Johnson JA, Tillson G. Am I Ophthalmol 1989; 107: 23- 6 ( Jan). [ Reprint requests to Dr. J. A. Pratt- Johnson, Children's Hospital, 4480 Oak St., Vancouver, B. C. V6H 3V4 Canada.] Twenty- four patients were referred to the authors between 1984 and 1988 with diplopia following removal of traumatic cataract and optical correction. The patients were 6- 39 years of age ( average age, 18 years), and the interval between development of cataract and the restoration of the best possible vision was 2Y2- 40 years ( average, 14 years). Orthoptic evaluation revealed central fu- |
