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.
Reference Duane/Fuchs: Textbook of Ophthalmolgy: " This has retained its name given by Von Graef, because at the spot where the infiltration is present in the cornea dense and white opacities are left which often look like sclera. Sclerosing keratitis occurs either alone (as in this case) or more frequently as an accompanying symptom of scleritis."
As the keratis area takes on a whiter appearance, the area of corneal involvement resembles the sclera more closely. The residual of the triggering scleritis can be seen in the photo as the slightly bluish spot involving the sclera not far from the involved cornea.
Sclerosing keratitis with calcification, inactive
Stedman's Medical Dictionary: " sclerosing keratitis, inflammation of the cornea complicating scleritis; characterized by opacification of corneal stroma." In the photo, calcium has been deposited in the corneal scar.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.