Among the various changes of the cornea in trachoma united under the general name of pannus or interpreted as sequels of it there is one form of damage of the cornea which is of great interest. It is characterized by the appearance of pale yellowish spots which are situated mainly in the center of the cornea.
Among all the authors of textbooks and manuals, only Fuchs1 has mentioned these lesions. He wrote about changes in pannus of long standing in the form of "small, intensely white spots in the region of the pupil." The appearance of those spots, which "closely adhere to the thin vessels of the pannus, resemble leaden incrustations. The spots lie superficially and can be removed by scraping."
These changes were described in detail by Calderaro2 from the Corinesno clinics. According to Calderaro, these lesions are rather rare and were observed in only 0.1
BRUCK AJ, Lyon EF. DEPOSITS OF FAT IN TRACHOMATOUS PANNUS. Arch Ophthalmol. 1936;16(6):950–963. doi:10.1001/archopht.1936.00840240050004
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