January 1990

Anterior Chamber Crystals Following Hyphema

Author Affiliations

Boston, Mass

Arch Ophthalmol. 1990;108(1):14-15. doi:10.1001/archopht.1990.01070030016006

To the Editor.  —Elevated intraocular pressure, corneal staining, and formation of synechiae are well-recognized sequelae of hemorrhage into the anterior chamber. We describe a patient who developed cholesterol crystals in the anterior chamber following resolution of a traumatic hyphema. Although cholesterol crystals have been observed in the vitreous cavity following hemorrhage and in the anterior chamber and vitreous cavity in phthisical and chronically inflamed eyes,1 to our knowledge, they have not been previously reported following bleeding into the anterior chamber.

Report of a Case.  —A 14-year-old boy was referred by his ophthalmologist 2 weeks after resolution of a crescent-shaped hyphema in the left eye. This resulted from a blunt trauma sustained while playing with a friend. The past ocular history was significant for a congenital anterior cataract and an optic nerve coloboma in the left eye. The patient suffered from amblyopia in the left eye; this was first noted

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