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Examination of the anterior vascular capsule of the lens: III. Abnormalities in infants with congenital infection.

The disappearance of the anterior vascular capsule of the lens (tunica vasculosa lentis) in the preterm infant has been established to be useful in accurately estimating gestational age between the twenty-seventh and thirty-fourth weeks in infants appropriate or small for gestational age. Six infants have been studied with abnormalities of the anterior vascular capsule of the lens in which congenital TORCH infection has been documented (1 toxoplasmosis, 2 rubella, 2 cytomegalovirus, and 1 herpes simplex virus). Since the anterior vascular capsule generally atrophies symmetrically and completely after the thirty-fourth week of gestation, the findings of marked asymmetry and/or persistence and hypertrophy of the anterior vascular capsule of the lens warrants initiation of TORCH studies in the newborn infant.

Cytomegalovirus Infections↗

[Main causes of child blindness in People Republic of Congo (author's transl)].

Report from 18 months of practice in the "Hôpital Général" of Brazzaville. Three groups must be considered: -- Newborns: -- the purulent gonococcal ophtalmia has a bad prognosis and though rather rare, must not be neglected. -- Infants: -- measles, which have in Congo a very high prevalence, induce very frequently corneal ulcers with a great risk of rapide evolution towards hypopyon or panophtalmia; -- congenital cataracts probably related to rubella or toxoplasmosis. -- Children: -- congenital glaucoma; -- retina, with, in first rank, the retinoblastoma which seems particularly frequent in People Republic of Congo; -- traumatisms of various kinds.

Adolescent↗