|Year : 1971 | Volume
| Issue : 2 | Page : 80-81
RB Saxena, KM Gadhvi
Institute of Ophthalmology, Civil Hospital, Ahmedabad-16, India
R B Saxena
Institute of Ophthalmology, Civil Hospital, Ahmedabad-16
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Saxena R B, Gadhvi K M. 'Neonatal uvieitis'. Indian J Ophthalmol 1971;19:80-1
Sticky lids, Ophthalmia neonatorum, retinal heamorrhages, lid lacerations, burst or crushed eye ball and corneal cicatrix are the common ocular complications a child faces during the neo-natal period Chasser  Fleming and Morton  Buckanan and Thomson  . A rare case of neonatal uveitis with secondary glaucoma is reported.
| Case Report|| |
D. C. 6 months old female child was brought by her parents to Institute of Ophthalmology, Civil Hospital, Ahmedabad on 18th June 1968 with the complaints of recurrent mild redness, watering and photophobia in the right eye since the age of 2 weeks. There was gradual increase in the size of the eye ball for last three months.
She was the first child in the family with a full term normal birth. Family history did not reveal any positive finding.
RE: Eye ball bigger in size, ciliary congestion +, Cornea hazy with a diameter of 12X 13 mm. A/C absent at periphery and shallow in centre. Pupil pin point with occlusio and seclusio pupilla.
Tension under general anaesthesia was RE: 42.00 mm. of Hg. LE: 20 mm. of Hg.
Fundi L.E. normal, in RE it was not possible to examine as the pupil did not dilate even after the application of Atropine Eye Ointment 1 °% three times a day for a week.
Did not reveal any abnormality. Blood V.D.R.L. of the parents was negative. Histopathological study of the enucleated RE revealed adhesion of the iris with the cornea at the periphery. Iris showed abnormal fibrosis suggestive of healed iridocyclitis. There was generalised atrophy of the eye coats [Figure - 1].
| Discussion|| |
The poor defence mechanism of children during neonatal period give them infection very easily. The common sites for it are the skin, eye, respiratory tract, elementary tract and umbilical stump.
Eye involvement in this period may be as a result of infection in intra uterine life or in the neonatal one.
Unilateral uveitis in neo-natal life can be either due to intrauterine inflammation or secondary to keratitis in neo-natal period. The keratitis and uveitis in utero or in infancy is the known cause for damage to the outflow mechanism leading to rise in the intraocular pressure (Pollock  ). The gradual increase in the size of the eye ball was due to the raised intro ocular tension. The occlusio pupillae had raised the pressure in the posterior chamber pushing the iris diaphragm anteriorly thus making the anterior chamber shallow which was further narrowed by the anterior peripheral synechiae.
| Summary|| |
A case of uni-lateral neo-natal uveitsis with secondary glaucoma, is reported.
| References|| |
BUCKANAN AND THOMSON Tran. Ophth. Soc. U.K. 23, 296. (1903) (cited in 3).
FLEMING AND MORTON Arch. Dis. Child 5, 361, (1930) (cited in 3).
CHASSER M. J.: 'Munroker's Operative Obst.' 960P. 7th ed. Bailliers Tindell & Co., London.
POLLOCK I. P. Tran of the new Orleans Acad. of Ophth. P. 49. C. V. Mosby Co., Sant.
[Figure - 1]