Abstract
The patient was a man of 78 years, in excellent general health. Operation for cataract included preliminary iridectomy and attempted extracapsular extraction. When the lens did not present the capsule was grasped with forceps and the lens gently torn away from adhesions, without loss of vitreous. The lower pole of the lens showed evidence of soft white exudate. Symptoms of infection on the second postoperative day led to treatment with foreign protein. A smear showed numerous extra- and intracellular diplococci, identified as gonococci. The patient recalled having had acute gonorrheal urethritis at 18 years of age, but no after effects. Urethral smears were negative for the organism, as was also a complement fixation test. The eye went on to phthisis bulbi. The other eye was not affected.
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