Color Plate 5. Post-traumatic bullous keratopathy with secondary amyloidosis. A. Preoperative appearance with visual acuity of counting fingers at 2 feet and symptomatic recurrent erosions. B. Intraoperative photograph. Thick fibrous tissue layer is easily peeled away with jeweler's forceps. C. Postoperative appearance. The amyloid deposits are absent. The corneal epithelium is more regular in appearance, and recurrent erosive episodes are diminished. Visual acuity has improved to 20/400 (6/120). D. Phase-contrast photomicrograph of keratectomy specimen. Marked epithelial distortion due to amyloid deposits (*); Subepithelial pannus is apparent. Bowman's layer is absent.(Paraphenylenediamine; X 350) |