| Cholesterol Crystals in Aqueous Humor of the Eye with Phacolytic Glaucoma. |
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In Taek Kim, Bo Young Jung, Jin Young Shim |
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Department of Ophthalmology, School of Medicine, Kyungpook National University, #50, Samduck-dong 2-ga, Jung-ku, Taegu, 700-721, Korea. itkim@knu.ac.kr |
| 수정체용해녹내장에서 방수내 콜레스테롤 결정체 |
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김인택(In Taek Kim),정보영(Bo Young Jung),심진영(Jin Young Shim) |
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| Abstract |
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Iridescent cholesterol crystals in the anterior chamber are unusual finding. Although the clinical picture of phacolytic glaucoma is well recognized, the nature of the iridescent or hyperrefringent crystals is not well understood. A 70 years old womon presented with the acute onset of monocular pain and redness. The examination revealed a high intraocular pressure (42 mmHg), conjunctival hyperemia, and diffuse corneal edema. The heavy flare and pseudohypopyon were seen in the anterior chamber associated with iridescent or hyperrefringent particles. The anterior chamber aspirate obtained at operation was subsequently examined by wet field microscopy. Wet field microscopy showed that macrophages identified histologically in the aspirate corresponded to regular round cells about two to three times the size of an leukocyte. And, notched rectangular platelike crystals were typical morphologically of cholesterol, varied in size, and contacted each other. We found cholesterol crystals in aqueous humor of the eye with phacolytic glaucoma. |
| Key Words:
Aqueous humor;Cholesterol crystal;Macrophage;Phacolytic glaucoma |
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