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.
Because of the rarity of the intumescent cataract in the USA, a few classic examples operated on by Dr. Caccamise are presented for viewers of the Atlas. This stage of cataract potentially lies between the immature cortical cataract and the mature corticonuclear cataract. It is a stage that is usually by-passed in the history of a cataract 1. incipient to immature, 2. intumescent, 3. mature corticonuclear, 4.hypermature Morgagnian, 5. shrunken Morgagnian. In the USA, most cataract surgery is being performed on very immature cataracts, i.e. cortical; posterior subcapsular; nuclear ; corticonuclear. Many of the lenses have a considerable amount of non-cataractous lens structure present at the time of surgery. Contrariwise, most lens extractions in India involve patients who are industrially (20/80 or less) but more often legally (20/200 or less) blind. Except for cases of posterior subcapsular cataract, most patients have surgery when very little of the lens remains free of cataract changes.
the sectorial markings with a mother of pearl appearance - typical of an intumescent cataract
at times the intumescent cataract will produce a very shallow anterior chamber.
A classic intumescent cataract: the intracapsular cataract surgeon recognized this as having the most friable of anterior capsules.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.