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Ophthalmic Images
March 9, 2017

Cholesterolosis Bulbi

Author Affiliations
  • 1Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamilnadu, India

Copyright 2017 American Medical Association. All Rights Reserved.

JAMA Ophthalmol. 2017;135(3):e165458. doi:10.1001/jamaophthalmol.2016.5458

A man aged 28 years presented with a 3-month history of redness and pain and a 1-year history of glistening crystals in his right eye, having been diagnosed with Coats disease in that eye.1,2 The affected right eye had hand motion visual acuity since childhood; vision in the left eye was normal. Multiple polychromatic crystals were observed floating in the vitreous cavity (Figure, A) and anterior chamber (Figure, B). Intraocular pressure was 28 mm Hg. B-scan ultrasonography revealed total retinal detachment. He was advised to use topical antiglaucoma medications and to have regular follow-up. Cholesterolosis can rarely occur in conditions like advanced Coats disease, retinoblastoma,3 and vitreous hemorrhage.4

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