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: Pediatrics

False Polycoria

The 1st photo is computer manipulated to make it easier to see the hole (2nd pupil) in the iris at 10:30 o'clock. The 2nd photo was not computer manipulated. The pigmented nevus is seen more easily on the lower lid.The hole in the iris is not a true second pupil but a false pupil. This subject is covered well in Velhagen's Der Augenarzt-Vol. 1, p.157.

This is the unmanipulated photo. Iris details are lacking because of the heavy pigmentation of the iris. The pigmented nevus on the lower lid is seen more easily.

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