Complete atrioventricularheart block secondary to acute myocarditis requiring intracardiac pacing

static endophthalmitis, is now extremely rare. Findings on physical examination include ciliary injection, exudate in the anterior chamber, swollen muddy iris with posterior synechiae, vitreous filled with exudate, fundus not visible, and blindness; pathologic findings include edema, thickening, and infiltration by white blood cells of the ciliary body, iris, choroid, and retina. 7 It is felt that ocular involvement is either secondary to the septicemia and extension from the vessels of the retina and choroid or rarely due to direct extension from the inflamed meninges along and around the optic nerve and central retinal artery. Endophthalmitis, panophthalmitis, suppurative iridochoroiditis, or metastatic ophthalmia occurs most frequently 3 days after the onset of iIlness but has been reported as early as 24 hours, s Meningococci are rarely isolated from the vitreous. The outcome varies from complete recovery to damage requiring enucleation. Endophthalmitis has been associated with meningococcal meningitis more frequently than with any other disease and has been seen most frequently in children who have recovered from the meningitis.