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Show 276 LITERATURE ABSTRACTS Victoria, Private Bag No.3, Parkville, Victoria 3052, Canada.] Three patients with known chronic lymphocytic leukemia had bilateral visual loss from infiltration of the optic nerves with leukemic cells. All responded partially to corticosteroid and radiation therapy. The authors note that this complication of chronic lymphocytic leukemia may be more common than the rare literature reports would indicate. Lyn A. Sedwick, M.D. Transient Oculomotor Nerve Misdirection in a Case of Pituitary Tumor With Hemorrhage. Johnson LN, Pack WL. Arch Ophtha/mo/ 1988;106:584-5 (May). [No reprint information given.] A 70-year-old man with an acute, painful third nerve palsy, partially pupil-sparing, and oculomotor nerve misdirection was found to have a pituitary adenoma with acute hemorrhage. Most third I .:" """,., (IT'h/halmo/' Vol, 8. No.4, 1988 nerve signs cleared in 10 days and all were gone postoperatively. The authors believe peripheral ephaptic transmission was the cause of the transient misdirection in this patient. Lyn A. Sedwick, M.D. Third Nerve Palsy and the Pupil. Trobe JO. Arch Ophtha/mo/1988;106:601-2 (May). [Reprint requests to Dr. J. D. Trobe, W. K. Kellogg Eye Center, University of Michigan Department of Ophthalmology, 1000 Wall St., Ann Arbor, MI48105-1994.] In light of the case presented by Lustbader and Miller in the same issue of the Archives, Jonathan Trobe discusses exceptions to the rule of considering aneurysm if the pupil is involved and no aneurysm if the pupil is not involved, in evaluating patients with third nerve palsy. His comments are helpful in patients with partial third nerve palsy, and especially so in patients with partial pupilsparing with or without pain. Lyn A. Sedwick, M.D. |