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Show LITERATURE ABSTRACTS 205 Pedmetdc Findings in Functional Disorders Using Automated Techniques. Smith TI, Baker RS. Ophthalmology 1987;94:1562-6 (Dec). [Reprint requests to Dr. T. J. Smith, Department of Ophthalmology, University of Kentucky, Lexington, KY 40536-0084.] The authors used Octopus 2000R and Digilab 750 visual fields in patients with functional visual loss in the hope that these perimeters "might provide better data regarding the true state of the visual system in this difficult group of patients." It comes as no surprise that these patients were a match for the perimeters and produced five degree fields, star or "amoebic" fields, and monocular hemianopias, with no more false-negative or false-positive catch trials than nonfunctional patients. Lyn A. Sedwick, M.D. Ocular Muscle Fibrosis Following Cataract Extraction. Kushner BJ. Arch Ophthalmol1988;106:189 Gan). [No reprint information given.) A 73-year-old woman with diplopia after cataract surgery demonstrated a restrictive inability to elevate the operated eye. An enlarged muscle was seen on computerized tomographic scanning which proved to be fibrotic at successful strabismus surgery. Thyroid functions were normal; the author postulates an inflammatory reaction to subconjunctival gentamicin given at the end of cataract surgery. Lyn A. Sedwick, M.D. The Surgical Treatment of Blepharoptosis in Oculomotor Nerve Palsy. Malone TI, Nerad JA. Am JOphthalmol1988;105:57-64 Gan). [Reprint requests to Dr. J. A. Nerad, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.] This 25-year review of patients with oculomotor nerve palsy seen at the University of Iowa by members of the Department of Ophthalmology revealed 170 patients, 27 with congenital palsy and 143 with acquired palsy. Blepharoptosis surgery was performed on 20 patients, 15 with congenital palsy and 5 with acquired palsy. All 20 patients had strabismus surgery either before or combined with ptosis surgery. Not surprisingly, the most frequent adverse outcome was poor corneal protection. The authors note that careful selection of surgical candidates and the procedure performed will optimize results. Lyn A. Sedwick, M.D. Recovery of Vision After Presumed Direct Optic Nerve Injury. Feist RM, Kline LB, Morris RE, Witherspoon DC, Michelson MA. Ophthalmology 1987;94:1567-9 (Dec). [Reprint requests to Dr. L. B. Kline, Suite 555, 1600 7th Avenue South, Birmingham, AL 35233.] A 16-year-old patient sustained a gunshot injury to her face with multiple penetrating injuries to her right eye and a normal globe but no light perception vision in her left eye. Electroretinography was normal in the left eye but visual evoked response was nonrecordable. Computerized tomographic scanning showed two pellets in the left orbit. Without treatment, the patient gradually recovered vision to light perception 15 days after the injury; vision was 20/100 5 months later. Possible mechanisms of this remarkable visual improvement are discussed. Lyn A. Sedwick, M.D. Cytomegalovirus Retinitis and Optic Neuritis in Acquired Immune Deficiency Syndrome. Report of a Case. Grossniklaus HE, Frank KE, Tomsak RL. Ophthalmology 1987;94:1601-4 (Dec). [Reprint requests to Dr. H. Grossniklaus, Division of Ophthalmology, 2078 Abington Road, Cleveland, OH 44106.] A 33-year-old man with acquired immune deficiency syndrome and cytomegalovirus retinitis had unilateral optic nerve involvement clinically, with the presence of the virus in the optic nerve confirmed at autopsy. Color fundus photographs and many pathologic specimens are presented. Lyn A. Sedwick, M.D. Dural and Carotid Cavernous Sinus Fistulas. Diagnosis, Management, and Complications. Keltner JL, Satterfield 0, Dublin AB, Lee BCP. Ophthalmology 1987;94:1585-1600 (Dec). [Reprint requests to Dr. J. L. Keltner, Department of Ophthalmology, University of California, Davis, CA 95616.] JClin Neuro-ophthalmol, Vol. 8, No.3, 1988 |