[Fundus oculi in tuberculosis meningitis].
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Evaluation of the eye fundus after an extracapsular cataract extraction with posterior chamber lens implantation was performed in 50 patients 1 month after surgery and in 50 another patients 2 years after surgery. In the earlier period a very good inspection was possible in 88 p.c. of cases, 2 years after cataract extraction in 78 p.c. The usefulness of bilateral ophthalmoscopy was emphasized.
The Authors report mottled fundus in association with pseudoxanthoma elasticum in 8 of 9 patients. The mottled hyperpigmentation is an early uncommonly described finding, consisting of a speckled, yellowish mottling of the posterior pole temporal to the macula at ophthalmoscopic examination; this appearance, called "peau d'orange", is believed to be caused by changes in the retinal pigmented epithelium overlying a calcified and degenerating Bruch's membrane. This finding is virtually pathognomonic of pseudoxanthoma elasticum and may be present even in the first decade of the disease, prior to the appearance of the angioid streaks. The Authors emphasize the significance of the retinal finding, that may represent an incomplete genetic expression of an autosomal recessive carrier state.
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