Too Much of a Good Thing

NystagmusA 59-year old male with a history of acute methanol intoxication leading with 48 hours to a visual acuity of NLP OU with fixed pupils.The disc showed hyperemia, papilledema and splinter hemorrhages.Systemic acidosi

Combined malignant lymphoma of the eye and CNS (reticulum-cell sarcoma)

✓ Three cases of histopathologically proven combined ocular and central nervous system (CNS) malignant lymphoma (reticulum-cell sarcoma) are presented. A review of the literature revealed 33 cases described with this syndrome. Symptoms and signs of both CNS and ocular disease are discussed. The results of computerized tomography and angiography are also reviewed. The diagnosis has been made by craniotomy, cerebrospinal fluid cytological examination, and by pars plana vitrectomy. The latter two procedures should probably be attempted prior to considering craniotomy. Reticulum-cell sarcoma of the eye and CNS possibly has a multicentric origin.</jats:p

Visual Loss from Pituitary Tumor Masked by Optic Nerve Drusen

Abstract A case of optic nerve drusen and progressive loss of central visual acuity is reported. Despite the presence of optic nerve drusen. the loss of central visual acuity that cannot be explained by a retinal abnormality is a strong indication for further neuro-ophthalmological evaluation.</jats:p