Management of Crystalline Pseudohypopyon

Sunday, April 19, 2015: 1:36 PM
Room 5A (San Diego Convention Center)
Pawan Prasher, MD

To report an unusual case of crystalline pseudohypopyon and discuss its management dilemma.

The term pseudohypopyon has been used in ophthalmic literature to describe various conditions that mimic hypopyon but are non-infective in nature. The aggregates in the anterior chamber can rarely be crystalline in appearance. Reported herein, is an unusual case of a 70-years-old male who presented with sparkling crystals in the anterior chamber and dense cataract more than 20 years after having developed retinal detachment in that eye.

He underwent aspiration of pseudohypopyon along with intracapsular cataract extraction which led to resolution of pseudohypopyon. Histopathological examination revealed the material to be consistent with cholesterol crystals.

Crystalline pseudohypopyon is a rare complication after chronic ocular disorders like long standing retinal detachment. Differentiating this condition from infective hypopyon is important in the management of such patients.