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.
Keratitis: an autoimmune response
The patient is a 13 year-old country girl in Bihar, India. Previously, it was assumed that the diagnosis would be keratitis scrofulosa (eccematosa) - a reaction to tuberculosis elsewhere in the patient's body. Now it is considered to be an autoimmune reaction - not just to tuberculosis but to other antigens. There usually is a rapid response to a combination of a steroid and antibiotic eye medication - drops or ointment.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.