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Ophthalmology and Visual Sciences

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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

*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. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Systemic Disorders

Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma

Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma.

The cynosure of this startling photo (taken by Dr. Caccamise in 1968 at the Kurji Holy Family Hospital Eye Clinic in India) is the destruction of the nose by a gummatous process of the patient's tertiary syphilis. From an ocular point of view, there is an important sign highly suggestive of trachoma, i.e. the notching of the right upper lid - somewhat imaginatively called the s-curve deformity of trachoma.




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Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 02-08-2008
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