SUMMARY A 22-year-old farmer with recurrent corneal erosions and keratoiritis underwent a penetrating keratoplasty. Investigations carried out on the corneal disc revealed an amoebic keratitis, which is considered to be a very rare condition.

SUMMARY Three patients who developed bilateral anterior uveitis at the end of, or soon after, the apparently successful treatment of visceral leishmaniasis are described. The uveitis gave rise to secondary glaucoma in 2 of the patients, and in the third patient the eye lesions were associated with an episode of post kala azar dermal leishmaniasis.

An unusual case of ophthalmomyiasis is reported, in which two living fly larvae were observed inside the patient's eye. One larva was removed from the anterior chamber by paracentesis; the other was destroyed on the retina by photocoagulation. The mode of infestation, clinical picture and treatment are discussed in brief.

After two years' work as lecturers in ophthalmology at the University of Nairobi we report on our experiences in both teaching as well as outpatient and inpatient-care at the Kenyatta National Hospital. Special emphasis is given to the socio-economical background of the public health service in Kenya, to point out the special aspects of day-to-day medical work as well as the different needs of a postgraduate program in ophthalmology in this country. The main purpose of our work, supported by the Federal German Ministry of Economic Cooperation, Munich University Eye Clinic and many other organizations, was to train ophthalmologists in their own country. Finally, medical research programs currently in progress and concerning special aspects of tropical ophthalmology are reported on. These studies are designed to help find a solution of the problem of blindness, which is briefly analysed, and which is much more urgent in Kenya than in Western Europe.

Immunosuppression with antilymphocyte globulin (ALG) was administered to 13 patients suffering from ophthalmic diseases. These included 4 with sympathetic ophthalmia, 3 with chronic generalized uveitis, 1 with necrotizing scleritis, 3 with corneal transplantation and 2 with combined corneal and scleral transplants. There was significant improvement in the patients with sympathetic ophthalmia and uveitis when ALG treatment was started early enough, i.e., as long as inflammatory processes were demonstrable. The results achieved in patients given corneal transplants were less convincing in the final outcome, although 3 patients – 2 had rejected previous corneal grafts within weeks – tolerated their corneas for several months after ALG treatment. It was not possible to reverse opacification occurring during corneal graft failure by ALG