Raised mean cell volume and meningoencephalitis associated with Mycoplasma pneumoniae infection.

Case 1-A 1 3-year-old girl was hit in the right eye by a swimming goggle. On examination half an hour later the visual acuity of the injured eye was bare perception of light, but she was seeing 6 5 with the other eye. There was a penetrating corneosclcral injury, with some vitreous loss, iridodialysis, ruptured sphincter pupillae, flat anterior chamber, and dislocated lens. There was no view of the fundus because of hyphaema. The wound was sutured under general anasthesia the same day. The eye was treated with a pad, and topical cycloplegics and antibiotics, and later steroids, but remained irritable for several weeks. Some 13 weeks after the injury the eye had settled well and the wound had healed (see figure). The visual acuity at this stage was counting fingers at one foot, owing to dense cataract. Future treatment may improve this result, but some visual loss wrill be permanent.