EyeRounds Online Atlas of Ophthalmology
Contributor: William Charles Caccamise, Sr, MD, Retired Clinical 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.
Classic Herbert's pits in trachoma
The patient was a 19-year-old Bihari Indian female who presented with these classic Herbert's pits - typical of trachoma. They are located on the limbus at the base of the pannus that can be seen only with slit-lamp examination. The dark spots on the sclera between the limbus and the margin of the upper lid are benign. They are caused by pigment at the point of perforation of the sclera by bloodvessels.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.