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: hypopyon ulcer - initial stage

hypopyon ulcer - initial stage

Image Comments:

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.

hypopyon ulcer - initial stage


hypopyon ulcer - initial stage


hypopyon ulcer - initial stage


 

 

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