BILATERAL METASTATIC UVEITIS ENDING IN PHTHISIS BULBI AS A COMPLICATION OF MEASLES

Abstract

Ocular complications of measles, other than the almost invariably associated conjunctivitis, are rare.¹Metastatic uveitis as a complication of measles was mentioned by Duke-Elder.²Optic neuritis,³retrobulbar neuritis with associated meningitis,⁴encephalitis with loss of vision⁵and severe retinitis⁶have also been reported as complications of measles. REPORT OF A CASE S. T., a 3 year old girl, was first seen on Dec. 18, 1943, for consultation, at the request of her physician. The child had been admitted to the hospital after a severe episode of measles with associated bilateral otitis media and pneumonia. Sulfathiazole therapy had been instituted three days previous to her admission. Ocular examination revealed moderate lacrimation and photophobia; the conjunctivas were hyperemic. The extraocular movements were well performed. A slight ciliary injection was evident in both eyes, but no keratic precipitates were noted grossly. Examination with a hand loupe and