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June 1990

Cholesterolosis of the Anterior Chamber

Author Affiliations

Hartford, Conn

Arch Ophthalmol. 1990;108(6):780. doi:10.1001/archopht.1990.01070080022012

To the Editor.  —The letter by Drs Hemady and Foster1 brought back some fond memories. In 1973, as a first-year resident in the Massachusetts Eye and Ear Infirmary General Eye Clinic, Boston, I saw an eye with beautiful golden crystals shimmering and floating in the anterior chamber, exactly as depicted in a picture sent by Drs Hemady and Foster. All the residents and attending surgeons gathered to examine this patient. This ocular finding was deemed to be of sufficient interest and rarity to warrant reporting, which was duly done.2However, continued curiosity with this case led me to further research. We reviewed almost 11000 records (1964 to 1974) from the Ocular Pathology Laboratory at the Massachusetts Eye and Ear Infirmary. Cholesterol crystals were noted in only 12 eyes. All 12 eyes had no useful vision, all had previous ocular injury, and all had a retinal detachment. Three eyes

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