Our study suggests diverse practice with regard to neonatal PN prescription in the United Kingdom. Current neonatal PN practice entails a significant calorie and protein deficit during early postnatal life and warrants further review.

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This report highlights the importance of a detailed cardiac evaluation in a neonate with persisting bacteraemia. An increasing awareness of neonatal ductal endarteritis combined with the wider availability of more sensitive echocardiography has implications for local neonatal service delivery.

TAKAYASHU (1908) reported a case of complicated cataract with unusual features, and Onishi and Kagoshima reported two similar cases at the same meeting with the added observation of absent radial pulses in one of them. It was not, however, until Shimizu (1948) reviewed the two articles that the disease became generally recognized by Japanese ophthalmologists as a rare but definite entity. Since then about 100 cases have been reported, most of them from Japan, a very few from America, and half a dozen from India (Misra,