No abstract

Pediatric endogenous endophthalmitis is a rare disease that can cause serious ophthalmic damage. We report and discuss the diagnostic aspects and the clinical outcome of pediatric endogenous endophthalmitisdue to bacterial meningitis in a immunocompetent 3 year old infant with a three days history of, photophobia, purulent discharge, redness, corneal edema, hypopyon, poor red reflex and nausea.His parents brought him to our emergency department. He was diagnosed as having bilateral endogenous endophthalmitis associated with bacterial meningitis.Intravenous broad-spectrum antibiotic therapy was initiated with Cefotaxime 200 mg / kg per day in 4 slow IV injections and vancomycin15mg/kg per day in 4 IV injections. Intravitreal antibiotic (vancomycin and ceftazidime) injections were performed in both eyes. Two weeks post presentation, the best-corrected visual acuity in both eyes improved to 0.4, and inflammation of the anterior chamber and vitreous cavity was decreased. We recommend that when endogenous endophthalmitis is suspected along with meningitis, or if it is known to be present, Intravitreal and intravenous antibiotics should be promptly administered to preserve vision.

Mini-scleral lens’ are large diameter rigid lenses that are used to rehabilitate vision when the corneal shape is distorted from disease, scarring or after a corneal graft procedure, however, there are relatively few reports regarding their potential complications, in this case we describe the case of a corneal abscess in a mini-scleral lens wearer with keratoconus in order to determine whether this type of contact lens presents an increased risk of infection.

Conjunctival melanoma is a rare malignant tumor with a recurrent character and metastatic potential. It is characterized in anatomopathology by a tumoral proliferation of atypical melanocytes. It can develop on a pre-existing lesion or appear on a healthy conjunctiva called "de novo" melanoma. The clinical aspect of melanoma is variable. It often appears as a pigmented lesion in relief, more or less nodular and vascularized, but it can also be achromatic. It can involve any portion of the conjunctiva and extend to the surface of the cornea. The involvement can be plurifocal.