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.
Hypopyon ulcer - initial stage
The photo shows the typical initial stage of an hypopyon ulcer in rural India. A young male laborer or farmer sustains a recognized or unrecognized injury to the cornea. The disruption in the epithelium is a portal for bacteria, e.g. pneumococci, and initiates the corneal ulcer seen in the photo. If not treated immediately with cycloplegics and antibiotic drops and ointment (while awaiting lab reports), the condition will produce a marked anterior segment inflammatory reaction with hypopyon. Perforation of the cornea with staphyloma or phthisis will follow. Properly and successfully treated, this ulcer will heal with a leucoma or a macular scar as the residuum.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.