A case of Mycoplasma pneumoniae pneumonia complicated by anterior uveitis is described. Anterior uveitis as a complication has not been reported before. Its possible mechanism is discussed.
SUMMARYSections of human anterior optic nerve and nerve head were incubated in a physiological solution containing a radiolabelled beta blocker at a low concentration. Tbe beta blocker used was (-)-e25iodo )-cyanopindolol, which has a higb affinity and specificity for beta-adrenergic receptors. Concurrent incubations were performed with a great excess of unlabelled beta blocker added to demon strate non-specific binding. Following incubation the sec tions were washed and dried. Tbey were then apposed to photographic film for 5 days and developed. Incubations were performed witb the stereoisomers of propranolol and an alpha blocker as well as specific beta-one and beta-two blockers. Beta-adrenergic receptors were demonstrated in anterior optic nerve and optic nerve head. The majority were of the beta-two subtype.
Three patients who had extracapsular cataract extractions with intraocular lens implants developed delayed ciliochoroidal detachments, which responded to systemic steroid therapy. This rare complication may have been due to ciliary sulcus fixation of the implant. The possible mechanism and treatment are discussed.Delayed ciliochoroidal detachment following cataract surgery is a rarely described complication which may occur some months or years after surgery. On review in the outpatient department 10 days after discharge from hospital her visual acuity was normal and the choroidal detachment had resolved completely. Her medications were reduced. Four weeks later all medication had been withdrawn and her visual acuity was 6/6. Three months after discharge she attended as a casualty again with a sore eye. On examination the visual acuity was 6/7 5, and flare and 1+ cells were present in the anterior chamber. A small inferior choroidal detachment was seen on funduscopy. This resolved on treatment with topical dexamethasone 0dI% and cyclopentolate 1%. There have been no further recurrences. CASE 2A 65-year-old woman, who was fit and well, underwent an uneventful left extracapsular cataract extraction with insertion of a 2 1-dioptre posterior chamber Rayner Pearce tripod intraocular lens into the ciliary sulcus. Two years before she had had an uncomplicated right cataract extraction with implantation of a similar lens into the capsular bag.On review six months later her best corrected visual acuity in the left eye was 6/18. Dry macular degeneration was noted. No intraocular inflammation was present, and intraocular pressure was normal. The patient was discharged.Two months later she presented with a twoweek history of photophobia and blurred vision in the left eye. The visual acuity was reduced to 6/24. Moderate flare and 2 + cells were present in the anterior chamber. The intraocular pressure was less than 1 mm Hg, with shallowing of the anterior chamber. On gonioscopy the iris root was displaced forwards by the feet of the implant in the ciliary sulcus, but there was no evidence of a cyclodialysis cleft.
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