[Pseudohypopyon of cholesterol crystals occurring 16 years after retinal detachment in x-linked retinoschisis].
BACKGROUND
Cholesterol crystals of the anterior chamber can be found as a marked feature of advanced cholesterosis bulbi; typically following i. o. hemorrhage after severe trauma, retinal detachment or M. Coats.


METHODS
A 39-year-old male patient with longstanding (16 years) retinal detachment in his right eye due to x-chromosomal linked retinoschisis presented with a clinical picture of a hypopyon and mature cataract. Ultrasonography showed a retrolental mass. Phacolytic uveitis was suspected and pars plana lentectomy and vitrectomy was performed. Intraoperatively subretinal chrystals could be detected. A specimen of the aqueous humor and subretinal fluid was evaluated biochemically and histologically and revealed cholesterol crystals.


CONCLUSIONS
Cholesterosis bulbi may be similar to lentogenic uveitis and should be included in the differential diagnosis of such processes. To our knowledge this is the first case of cholesterol crystals of the anterior chamber sixteen years after retinal detachment in x-linked retinoschisis.
Mielke
J
J
Universitäts-Augenklinik Tübingen, Abt. I, Tübingen.
Freudenthaler
N
N
Schlote
T
T
Bartz-Schmidt
K U
KU
D000328:Adult; D000867:Anterior Chamber / Q000473:pathology*; D002784:Cholesterol; D003460:Crystallization; D003937:Diagnosis, Differential; D005128:Eye Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D015785:Eye Diseases, Hereditary / Q000150:complications; D008040:Genetic Linkage; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000150:complications* / Q000235:genetics; D014792:Visual Acuity; D014822:Vitreous Body / Q000473:pathology*; D014960:X Chromosome
D002784:Cholesterol