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: Cataract

Post-excision of huge prolapsed iris following intracapsular cataract surgery with 180 degree incision superiorly

Loss of vitreous was the major fear when this prolapsed iris repair was carried out in 1964. Sutures were preplaced. Air was injected into the anterior chamber to force back the vitreous face. The prolapsed iris was grasped with forceps and excised. The sutures were drawn taut, tied, and cut. An iris spatula search of the tight wound was made to be certain that no tissue was incarcerated. Penicillin solution was injected subconjunctivally at 6 o'clock - postop infection was always the surgeon's bete noir in India - as it should be elsewhere.

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