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

Nuclear sclerosis vs nuclear cataract

To determine whether nuclear sclerosis has entered the realm of nuclear cataract, the examiner may wish to depend on his slit-lamp evaluation. However, there is another method: Elicit the orange-red reflex with the direct ophthalmoscope at arm's length from the eye. If the nuclear sclerosis has reached at least the incipient stage of a nuclear cataract, a circular reflex encircling the cataract will be elicited.

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