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.

Category: Cataract

Congenital cataract - post-op extracapsular cataract surgery

In the era of intracapsular cataract surgery, an extracapsular approach was used on congenital cataracts - either through needling or through a limbal incision. Refined handling of lost vitreous had not yet been developed. The possible presence of an anterior hyaloid (vitreous) attachment to the posterior capsule of the young lens made intracapsular extraction a procedure fraught with danger. The capsular remnants rimming the inferior pupil margin show the successful results of extracapsular surgery in this young eye. Notice the quality of the lashes - one sign of a youthful patient.

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