EyeRounds Online Atlas of Ophthalmology
Contributor: William Charles Caccamise, Sr, MD, Retired Clinical 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.
Pterygium - active
The surgeon's success rate with his pterygium operations will be in direct proportion to the number of inactive pterygia in his caseload. It is the active pterygium that has the greater potential for nasty recurrence(s).In private practice, Dr. Caccamise examined a patient who had had 7 operations for the same pterygium. From Fuchs's Textbook of Ophthalmology: The existence of a progressive or a stationary pterygium is determined mainly by the character of the apex of the growth. In the former : the apex appears surrounded by a gray non-vascular zone which looks thick and gelatinous. In the latter: this marginal zone is thin and cicatricial looking and the whole pterygium is thin, pale, nearly destitute of vessels, and tendinous.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.