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.
The history of this eye: A corneal ulcer formed. The ulcer produced a minute perforation of the cornea. The aqueous humor rushed towards the site of perforation and carried the iris with it.The iris plugged the perforation and became incorporated with the scar issue healing process. Notice the iris pigment that is incorporated in the corneal scar -evidence of iris involvement and thus, an adherent leukoma. Fortunately, this eye recovered from this potentially catastrophic situation. Other eyes might have gone on to staphyloma, glaucoma,endophthalmitis, panophthalmitis and / or phthisis bulbi from the same initial corneal ulcer.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.