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: External Disease

Scrofula / fungating cervical tbc lymphadenitis

This young lady presented with a classic fungating tuberculous lesion of her neck.Scrofula (an obsolete term for cervical tuberculous lymphadenitis) has vanished from the usual American ophthalmologist's experience.However, it still exists in third world areas. While the Kurji Holy Family Eye Clinic was in session (periodically 1951 - 1968), tuberculosis was assumed to be present in all patients until otherwise. Many inflammatory eye diseases were considered to have tuberculosis as their etiology, e.g.PKC (phylectenular keratoconjunctivitis), anterior uveitis, posterior uveitis, retina, optic nerve,etc. Tuberculosis and syphilis were to be considered in all cases of perplexing eye disease.

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