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Show LITERATURE ABSTRACTS 275 crosis of vessels with scant to extensive perivascular inflammation. They postulate that this syndrome of retinal and cerebral vasculopathy is dominantly inherited, but also describe two sporadic cases. Lyn A. Sedwick, M.D. Chiasmal Compression Caused by a Catheter in the Suprasellar Cistern. Slavin ML, Rosenthal AD. Am JOphthalmoI1988;105:560-1 (May). [Inquiries to Dr. M. L. Slavin, Department of Ophthalmology, Long Island Jewish Medical Center, New Hyde Park, NY 11042.] A patient experienced decreased vision with bitemporal visual field defects. Computerized tomographic scanning showed that an intraventricular catheter had migrated to the suprasellar cistern. Vision improved to near normal with excision of the catheter. Lyn A. Sedwick, M.D. Primary Intraocular Lymphoma (Ocular Reticulum Cell Sarcoma) Diagnosis and Management. Char DH, Ljung BM, Miller T, Phillips T. Ophthalmology 1988;95:625--30 (May). [Reprint requests to Dr. D. H. Char, Ocular Oncology Unit, Science 315, Box 0412, University of California, San Francisco, CA 94143.] This is a retrospective review of 20 cases of intraocular lymphoma seen at the University of California, San Francisco, which presented initially with either central nervous system or ocular disease. The efficacy of different therapies is compared and the authors note that multiple vitreous sampling was necessary in three patients to make the diagnosis. Patients with central nervous system and ocular disease did best with a combination of intrathecal chemotherapy and radiation. Lyn A. Sedwick, M.D. Visual Symptoms Associated with the Presence of a Lupus Anticoagulant. Levine SR, Crofts JW, Lesser GR, Floberg J, Welch KMA. Ophthalmology 1988;95:686-92 (May). [Reprint requests to Dr. S. R. Levine, Center for Cerebrovascular Disease Research, Department of Neurology, K-11, Henry Ford Hospital, 2799 W. Grand Blvd., Detroit, MI 48202.] Five case reports describe patients aged 30 to 66 years with various complaints including transient monocular or binocular visual loss. In all, lupus anticoagulant causing prolonged partial thromboplastin time was implicated with clinical systemic lupus erythematosus present in only two patients. In several patients, there was coexisting mitral valve prolapse and/or carotid artery disease. This is a fascinating, easily read article that reviews all other reported cases and describes diagnostic testing and treatment. Lyn A. Sedwick, M.D. Painless, Pupil-Sparing but Otherwise Complete Oculomotor Nerve Paresis Caused by Basilar Artery Aneurysm. Lustbader JM, Miller, NR. Arch Ophthalmol 1988;106:583--4 (May). [No reprint information given.] A 65-year-old hypertensive lady is described who had an acute third nerve palsy, total but pupil sparing with no pain, who eventually was found to have a basilar artery aneurysm that had attempted but unsuccessful treatment with an intravascular balloon. The authors discussed the unusual features of this case and suggest that "safe" neuroimaging, presumably computerized tomographyor magnetic resonance scanning, be done on all patients with third nerve palsy, with or without pain or pupil involvement. It seems that nothing was lost in this case by waiting 2 months to scan, and certainly many unnecessary scans will be performed in patients with microvascular third nerve palsy if scanning is done immediately instead of waiting for the expected improvement in 2-3 months before scanning. Lyn A. Sedwick, M.D. Optic Neuropathy in Chronic Lymphocytic Leukemia. Currie IN, Lessell S, Lessell 1M, Weiss JS, Albert OM, Benson EM. Arch Opthalmol 1988;106:654-60 (May). [Reprint requests to Dr. J. N. Currie, Mental Health Research Institute of I Clin Neuro-ophthalmol. Vol. 8. No.4. 1988 |
