Management of Crystalline Pseudohypopyon
Purpose
To report an unusual case of crystalline pseudohypopyon and discuss its management dilemma.
Methods
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.
Results
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.
Conclusion
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.