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.
Post-op cataract complications
Poor wound healing must always be considered - especially when patients are chronically malnourished. Periodic draughts exacerbated the problem. Each case was evaluated for the number of sutures considered adequate. The minimum was 5. The greater the number of sutures, the greater the unpleasantness when suture-removal day arrived. In all cases a fornix-based conjunctival flap was used - when possible. Old trachoma scarring made flap formation impossible in some patients. In the cache, other unpleasant potentialities for the patient - and the surgeon - are presented.
Panophthalmitis is rarly seen in the USA post-op. Endophthalmitis is now the manifestation of infection.
Prolapse of the iris is the likely diagnosis if a pyriform pupil is seen post-op.
Cystoid cicatricial blebs are a portal for bacterial invasion of the eye. Wound repair is indicated.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.