Haemorrhagic conjunctivitis as an initial manifestation of systemic meningococcal disease

Abstract

Fig. Ib) but exact localisation of the foreign body in relation to adjacent ocular structures was not possible. UBM more clearly identified a foreign body lying on the posterior iris surface, close to the iris root and not involving the ciliary body. This showed up as a dense echo from the iris and the posterior iris surface (Fig. Ic). Right phacoemulsification of the cataract with intraocular lens implant was performed followed by a peripheral iridectomy with removal of the foreign body within the resected iris. A 10.0 prolene suture was used to close the iridectomy medially so that a smaller peripheral iridectomy was achieved. The post-operative course was uneventful and the patient regained 6/6 vision 3 days after surgey.

Spontaneous orbital haemorrhage in purpura fulminans secondary to meningococcal septicaemia

“…5 Ophthalmic complications of meningococcal infection include conjunctivitis, conjunctival petechiae and ecchymosis, cellulitis and endophthalmitis. 6,[17][18][19] As far as we are aware, periorbital and retrobulbar haemorrhage have not been previously described as complications of meningococcaemia.…”

Spontaneous orbital haemorrhage in purpura fulminans secondary to meningococcal septicaemia

“…5 Ophthalmic complications of meningococcal infection include conjunctivitis, conjunctival petechiae and ecchymosis, cellulitis and endophthalmitis. 6,[17][18][19] As far as we are aware, periorbital and retrobulbar haemorrhage have not been previously described as complications of meningococcaemia.…”