EyeRounds Online Atlas of Ophthalmology
Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry
Expanded text by Brendan K. Penaluna, May 5, 2017
*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. While the quality of his images are not up to today's higher web standards, many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.
Fuchs' epithelial-endothelial corneal dystrophy following cataract surgery
Fuchs' dystrophy is an example of a posterior corneal dystrophy. Thickening of the Descemet's membrane and defects of endothelial cell number and shape may result in progressive obscuration of vision. Cataract surgery in the setting of Fuch's dystrophy may rarely result in the decompensation of the corneal endothelium, creating an opportunity for the worsening of Fuchs' dystrophy. In this image of a patient with Fuchs' dystrophy post-cataract surgery, endothelial degeneration and subsequent edema and scarring can be appreciated as the white, hazy opacity contrasting against the brown iris and black of the pupil.
Biswell R. Chapter 6. Cornea. In: Riordan-Eva P, Cunningham ET, Jr. eds. Vaughan & Asbury's General Ophthalmology, 18e New York, NY: McGraw-Hill; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=387§ionid=40229323. Accessed April 17, 2017.
originally posted 2/8/2008
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.