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: Cornea
Diagnosis: cornea: total corneal decompensation with diffuse epithelial edema following cataract surgery

cornea: total corneal decompensation with diffuse epithelial edema following cataract surgery

Image Comments:

Catastrophic corneal misbehaviour is a
potentiality that every cataract surgeon must realize exists. The eye in this case was subjected to cataract surgery by a highly experienced and skilled professor of ophthalmolgy. The more common causes are: 1.aphakic/ pupillary block glaucoma 2. vitreous problems, e.g. vitreous loss or vitreous incarceration in the incisional wound 3. splitting of Descemet's membrane from the posterior cornea when the incision is being made 4. aggravation of Fuchs' epithelial/ endothedlial dystrophy by the surgery 5. occasionally, alpha-chymotrypsin precipitates corneal decompensation. This photo was taken in 1966.

cornea: total corneal decompensation with diffuse epithelial edema following cataract surgery


Fuchs' epithelial-endothelial corneal dystrophy

cornea: total corneal decompensation with diffuse epithelial edema following cataract surgery


cornea: total corneal decompensation with diffuse epithelial edema following cataract surgery


 

 

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