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PRIMARY MENINGOCOCCAL OPHTHALMIA MEDBRAiOURNA 569 The predominance among males is well seen, the only specifically mentioned female cases being direct contacts of meningitis. (Mangiaracine and Pollen give no indication of the sex of five of their patients.) In nearly half the cases both eyes were involved, either simultaneously or at short intervals; corneal ulceration is mentioned in one-sixth of cases; in no case was the eye permanently damaged by the infection. Meningitis is an unusual but possible sequel. SummaryAttention is drawn to the importance of recognizing the meningococcus as a primary cause of conjunctivitis.Two cases in Leeds school-children are described, the first being treated eventually by local sulphacetamide and the second by local penicillin, with good results.Some aspects of the literature are discussed.We wish to thank Mr. John Foster, honorary ophthalmic surgeon to the Leeds General Infirmary, who was in charge of these cases, for his interest and encouragement and for his permission to publish this account. Our thanks are also due to Prof. J. W. McLeod, professor of bacteriology in the University of Leeds, to our colleagues in the department, and to Prof. A. Loewenstein for much helpful advice and criticism.

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