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: Glaucoma / Iris

Incomplete aniridia

This female infant was found to have bilateral incomplete aniridia. It is very difficult to evaluate the pupil and iris in the photos. The untouched photo shows only darkness. However, when the computer is used to manipulate the photo, the defect is seen with a bit less difficulty - with the viewing room darkened. The aniridia is incomplete with the nasal portion of the iris being evident. The temporal area is black and reveals no iris. The paternal family refused genetic analysis. There was a hint of profound eye problems in paternal relatives who refused to come to the office for eye examinations. The child was referred to the Wills Eye Hospital for further evaluation and counseling.

The pupil appears totally dark with no evidenceof an iris. In the 1st computer processed phote the incomplete nature of the anirdia becomes evident nasally.

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