EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Glaucoma
Diagnosis: absolute glaucoma, failed iridencleisis, and tattooed cornea

Image Comments:

The patient is an unmarried Indian female. The eye in the photo had congenital cataract surgery. That surgery was followed by a two pillar iridencleisis with a resulting inadequate filtering bed.Tattooing of a corneal leukomatous corneal scar was done for cosmesis and social reasons. This is an eye that cannot be resurrected. It will be a constant interference with the unfortunate girl's quality of life. The eye should be enucleated and the patient should be cared for subsequently by a skilled ocularist. That advice almost certainly will not be followed. Reference: For further insight into the sociologic implications of blemishes, read Fitzgerald et al, Dermatology in General Medicine, pages 569 - 570,2nd edition, 1979. The article refers to vitiligo ( see Atlas photos and discussions of vitiligo ) but the same social stigmata apply to publicly visible eye blemishes.

 

 

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