ABSTRACT
Subacute Bacterial Endocarditis [SBE] is a flammable bacterial infection of the endocardium and usually builds on a pre-existing heart disease. Ocular events are a particularly rare complication that occurs in a child. A 10 year old patient having a history of recurrent tonsillitis and hospitalized in pediatric for kidney failure, shows a decrease in visual acuity reduced to finger counting at 1 meter. Ophthalmologic examination revealed papilledema, premacular hemorrhage, Roth spots and several intraretinal hemorrhages in both eyes and the presence of a segmental vasculitis in the left eye. Under etiological assessement, a transthoracic echocardiography was performed retaining the diagnosis of infective endocarditis. Blood culture isolated viridans streptococci. The patient received appropriate systemic antibiotics. Two months later, the evolution was marked by the recovery of visual acuity to 10/10 and net regression both papilledema as hemorrhagic lesions. Although rheumatic fever has become an exceptional condition in developed countries, it may still be a rheumatic valve that is grafted sepsis. In infective endocarditis, several ophthalmologic manifestations have been described in the literature. They result for most of infectious emboli in the retinal vessels and in some cases may reveal endocarditis. Besides vital prognosis engaged in bacterial endocarditis, visual functional prognosis may also be threatened by serious eye damage. Thus, an eye examination
ABSTRACT
Our study from January 1988 to May 1993 relates to 49 strabismic amblyopia records which represent 56 percent of strabismic children. The objective of this work is to insist on the interest of tracking down and early treatment of strabismic amblyopia because the therapeutic efficacy depend on the child age, and on the time between strabismus beginning and the treatment. The children age varied between 2 and 14 years. The strabismus was convergent in 44 cases, and divergent in 5 ones, with an oculary dominance in 90 percent of cases. The visual acuteness different between the two eyes was lower or equal to 4/10 in 26 cases and higher than 4/10 in 23 ones. Treatment consisted in an optic correction after cycloplegia and an amblyopia reeducation by occlusions of fixing eye with a variable frequency according to the age of the child and to the amblyopia deepness. The keeping treatment called for alternated occlusions over a right eye optic penalization. The functional recuperation after amblyopia reeducation is better among children group of 6 years [81,25%]