EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Prof of Ophthalmology-U of Rochester School of Medicine and Dentistry

Category: Cornea
Diagnosis: classic Herbert's pits in trachoma

Image Comments:

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.

 

 

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