Indian Journal of Ophthalmology

ARTICLES
Year
: 1971  |  Volume : 19  |  Issue : 2  |  Page : 80--81

'Neonatal uvieitis'


RB Saxena, KM Gadhvi 
 Institute of Ophthalmology, Civil Hospital, Ahmedabad-16, India

Correspondence Address:
R B Saxena
Institute of Ophthalmology, Civil Hospital, Ahmedabad-16
India




How to cite this article:
Saxena R B, Gadhvi K M. 'Neonatal uvieitis'.Indian J Ophthalmol 1971;19:80-81


How to cite this URL:
Saxena R B, Gadhvi K M. 'Neonatal uvieitis'. Indian J Ophthalmol [serial online] 1971 [cited 2021 Jun 12 ];19:80-81
Available from: https://www.ijo.in/text.asp?1971/19/2/80/34986


Full Text

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 [1] Fleming and Morton [3] Buckanan and Thomson [2] . 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.

Local Examination

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.

LE: Normal

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.

Systemic Examination

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 [4] ). 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

1BUCKANAN AND THOMSON Tran. Ophth. Soc. U.K. 23, 296. (1903) (cited in 3).
2FLEMING AND MORTON Arch. Dis. Child 5, 361, (1930) (cited in 3).
3CHASSER M. J.: 'Munroker's Ope­rative Obst.' 960P. 7th ed. Bail­liers Tindell & Co., London.
4POLLOCK I. P. Tran of the new Orleans Acad. of Ophth. P. 49. C. V. Mosby Co., Sant.