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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}

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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.

Figure 2

Anterior segment photograph of the right eye showing multiple refractile particles suspended within the anterior chamber.

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 patient's mother. Visual acuity was reduced to perception of light in the affected right eye. Examination …

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