Syndroma: glaucoma pigmentatum primarium--pigmented glaucoma.

In this study pigmented glaucoma was diagnosed in 29 out of 4350 patients suffering from glaucoma. In clinical analysis of those cases main attention was put on Krukenberg spindle with emphasis on the process and reason of its development. In all cases of Krukenberg spindle moderate myopia and myopic astigmatism were present. The main axis of the spindle lies in the principal meridian of corneal astigmatism. The principal meridian of the anterior cornea surface corresponds with the axis of the principal meridian of the posterior corneal surface. The higher degree of astigmatism more pronounced Krukenberg spindle. This corresponds to a number of cases in which the spindle is hardly recognisable in the astigmatism, of only +/- 0.25 to +/- 0.50 Dcyl. The axis of meridian corresponds to direct astigmatism (from 110 degrees to 70 degrees). The authors conclude that there is no pigmented Krukenberg spindle without myopic astigmatism. It is for this reason and because of the inheritance factor that this type of glaucoma should be considered primary glaucoma and a separate clinical entity.

Severe Trichinellosis cured with pulse doses of glucocorticoids.

Trichinellosis is a worldwide zoonotic disease caused by a nematode Trichinella spiralis. We studied a case of Trichinella spiralis infection with severe eye involvement, febrile condition, generalised malaise and muscular weakness in a young female patient. Comprehensive ophthalmologic, infectologic, neurological and immunologic examinations including electro diagnostic tests and CT scan of the head were performed, but the diagnosis was confirmed only by histological examination of biopsy specimens of skeletal muscle. The patient did not respond to standard corticosteroid therapy and improved only after pulse doses of 1000 mg methylprednisolone. Although most authors recommend moderately high doses of corticosteroids in the treatment of Trichinellosis, in severe cases extremely high doses might be necessary.