Bilateral optic disc swelling and mycoplasma pneumoniae

Mycoplasma pneumoniae is an atypical bacterium that can cause a great variety of respiratory infections. Ocular involvement other than conjunctivitis are uncommon, and papillitis have infrequently been reported. We report an additional case of bilateral optic disc swelling following mycoplasma pneumoniae and review the litterature on the ocular manifestations associated with this pathogen

[Optic disc drusen in alagille syndrome]

Alagille syndrome [AS] is one of the six forms of familial intrahepatic cholestasis, [AS] signs were neonatal jaundice and paucity of intrahepatic bile ducts. The ophthalmic features distinguish AS from the other forms of familial intrahepatic cholestasis. Posterior embrytoxon is the most common ophthalmic sign associated with this syndrome. We report a case of five months old boy that was suspected to have AS based on the association of jaundice, facial and skeletal abnormalities. Ocular examination revealed slightly elevated optic disc with irregular borders in both eyes. There was evidence of optic disc drusen in ocular B scan ultrasound in both eyes. Ocular ultrasound is a useful tool in the diagnosis of AS particularly in the cases which embrytoxon is absent or difficult to detect [young children]