Aphakic bullous keratopathy

Following intracapsular cataract surgery with vitreous loss, this eye struggled with bullous keratopathy. The photo shows a huge ruptured bulla involving the cornea superiorly.The light reflex lies in the inferior bed of the ruptured bulla.

The edge of the bulla can be seen superiorly from 11:00 o'clock to 1:00 o'clock. This was a major complication of cataract surgery in 1965 when this photo was taken. The loss of vitreous was a dreaded subject since the approach to its loss was extremely primitive compared to the wonderful techniques now employed by vitreous surgeons.