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Review of the Literature; Report of New Cases

ROBERT B. LEAVELLE, M.D.

AMA Arch Ophthalmol. 1955;53(5):634-642.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Panophthalmitis due to organisms of the gas gangrene group is fortunately a rare affliction. Twenty-four authors have described a total of 53 cases since 1904. Seven of these occurred in the United States, the first being recorded in 1932. This report adds three more cases.

Certain characteristics common to every reported instance of gas gangrene panophthalmitis were noted:

1. Infection followed a perforating wound of the globe.
   
2. Despite any and all therapeutic measures undertaken, the infection progressed, destroying all visual function.
   
3. The infected globe was either eviscerated or enucleated, or the entire orbit exenterated.
   
4. Postoperative recovery was essentially uneventful and complete.
   

Author Affiliations
North Hollywood, Calif.

From the Massachusetts Eye and Ear Infirmary, Boston.

Footnotes
Drs. Albert H. Sloane, Henry F. Allen, and Bernard H. Zeavin permitted the report of cases under their care.

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