Dacryoscintigraphy, using LCR and T1 as parameters, is a reliable and objective method to detect tear-flow abnormalities.

A case report is presented of a healthy 25-year-old man who developed a periorbital necrotising fasciitis after a trivial trauma with a wooden splinter. Necrotising fasciitis of the eyelids occurs rarely. Cryptococcus neoformans is not described as a causative factor of necrotizing fasciitis. Cryptococcus neoformans usually infects patients with immunodeficiencies, diabetes mellitus or steroid therapy. This patient was healthy and developed a periorbital necrotising fasciitis due to Cryptococcus neoformans.

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In 22 patients (23 eyes), who had undergone an uncomplicated cataract extraction with implantation of a posterior chamber lens in otherwise normal eyes 11 to 44 weeks previously, the intra-ocular light scatter was measured with an IOI stray light meter. All the eyes examined had little or no after-cataract. A regression curve for stray light values in normal eyes as function of age was used as reference. The measurements show that the intra-ocular light scatter in pseudophakic eyes with little or no after-cataract increases by a factor 2. This increase must be caused by the combination implant lens-posterior capsule.

SUMMARY A 36-year-old man had congenital fistulae of the palpebral lobes of the lacrimal glands, with orifices bilaterally in the intermarginal strip of his upper eyelids near the external canthi. The left fistula was cystic and had become chronically inflamed. Because antibiotic therapy was unsuccessful, excision was necessary. Congenital fistulae are extremely rare, forming a lateral and tarsal group, each group having typical characteristics. no other complaints and was in a good health. Both eyes were normal.In the intermarginal strip of both upper eyelids, just against the external canthus, a fistula could be seen with an orifice the size of a pin head. The conjunctiva of the left eye was hyperaemic, and a small yellow purulent discharge came from the fistula. The right eye was symptomless and normal lacrimal fluid exuded from the fistula. Apart from these 2 small openings the eyelids of both eyes were quite normal.The purulent material from the left fistula proved to be sterile. With a probe 05 mm diameter the left fistula was traceable for 18 mm (Fig. 1) and the right for 4 mm. The lacrimal passages on both sides were normal.