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.
Intracapsular cataract operation
In the era of the intracapsular cataract extraction, the eye seen in this photo would have been considered an ideal result. It was done in 1966. A 160-180 degree incision had been made superiorly. A peripheral iridectomy had been done at 12 o'clock after two or three sutures had been placed and looped out. The lens was extracted - intact. The iris was reposed, Additional sutures were placed and all were tied and cut to give a tight wound. The anterior chamber was reformed. Subconjunctival antibiotics were injected at 6 o'clock.
Dr. Caccamise performed gonioscopy on all eyes before surgery to be certain that there would be no surprises related to abnormal angle structures during surgery. At a suitable time after surgery, gonioscopy was repeated to determine the status of the angle. In this " perfect " eye, surprisingly, a silent incarceration of the iris in the region of the iridectomy was found. No treatment was required. Under adequate zoom of 200%, this iris shows beautifully the gross anatomy of an iris : the division of the iris into its two major parts - the pars pupillaris and the pars ciliaris with the iris frill or collarette as their line of junction. A ruff at the pupil margin is not app
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.