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.

Category: Cornea

A 5 month-old child with a perforated cornea due to keratomalacia caused by vitamin A deficiency

In the evaluation of this child the thumb exerted pressure only on the bony orbital rim. Keratomalacia with an incipent melting away of the cornea was evident. The child was admitted to the Kurji Holy Family Hospital for emergency treatment which included intensive vitamin therapy, general nutritional therapy, prophylactic antibiotic therapy, and local eye medicaments. Keratomalacia can cause a melting-away of the cornea/corneas within a few hours of onset.

Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.