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Images in medicine
Intraocular cholesterol crystals
  1. Imran J Khan,
  2. Manoj V Parulekar
  1. Birmingham Children's Hospital, Birmingham, UK
  1. Correspondence to Dr Manoj V Parulekar, Department of Paediatric Ophthalmology, Birmingham Children's Hospital, Steel House Lane, City Centre, Birmingham B4 6NH, UK; manoj.parulekar{at}bch.nhs.uk

http://dx.doi.org/10.1136/postgradmedj-2013-132129

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    Introduction

    Intraocular cholesterol crystals (cholesterolosis) present as multiple refractile particles suspended within the intraocular environment. There are a number of causes leading to cholesterolosis that the clinician should be aware of.

    We describe a case of Coats disease in a 2-year-old male child who, following treatment, developed cholesterolosis of the posterior and anterior segments in the affected eye (figures 1 and 2).

    Figure 1

    Photograph of the right eye posterior segment showing multiple refractile particles within the vitreous cavity. Access the article online to view this figure in colour.

    Figure 2

    Anterior segment photograph of the right eye showing multiple refractile particles suspended within the anterior chamber. Access the article online to view this figure in colour.

    Case report

    A 2-year-old male child was referred to the eye clinic with a 2-month history of an intermittent right divergent squint and a whitish pupillary reflex, first noted by the …

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    Footnotes

    • Contributors Both authors made contribution to conception, design, drafting the article and revising it critically for important intellectual content and final approval of the version to be published.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.