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: Glaucoma
Diagnosis: incomplete aniridia

Image Comments:

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.

 

 

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