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. 1991 Jun;75(6):329–331. doi: 10.1136/bjo.75.6.329

Identifying anterior segment crystals.

I W Hurley 1, A M Brooks 1, D P Reinehr 1, G B Grant 1, W E Gillies 1
PMCID: PMC1042375  PMID: 2043572

Abstract

A series of 22 patients with crystals in the anterior segment of the eye was examined by specular microscopy. Of 10 patients with hypermature cataract and hyperrefringent bodies in the anterior chamber cholesterol crystals were identified in four patients and in six of the 10 in whom aspirate was obtained cholesterol crystals were demonstrated in three, two of these having shown crystals on specular microscopy. In 10 patients with intracorneal crystalline deposits, cholesterol crystals were found on specular microscopy, including one case of Schnyder's crystalline corneal dystrophy. Of two patients with multiple myeloma, corneal crystals were demonstrated in one. Crystals of the anterior segment of the eye are most likely to be cholesterol, and identification is important for future treatment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barr C. C., Gelender H., Font R. L. Corneal crystalline deposits associated with dysproteinemia. Report of two cases and review of the literature. Arch Ophthalmol. 1980 May;98(5):884–889. doi: 10.1001/archopht.1980.01020030878015. [DOI] [PubMed] [Google Scholar]
  2. Brooks A. M., Grant G., Gillies W. E. Comparison of specular microscopy and examination of aspirate in phacolytic glaucoma. Ophthalmology. 1990 Jan;97(1):85–89. doi: 10.1016/s0161-6420(90)32622-2. [DOI] [PubMed] [Google Scholar]
  3. Brooks A. M., Grant G., Gillies W. E. Determination of the nature of corneal crystals by specular microscopy. Ophthalmology. 1988 Apr;95(4):448–452. doi: 10.1016/s0161-6420(88)33149-0. [DOI] [PubMed] [Google Scholar]
  4. Brooks A. M., Grant G., Gillies W. E. Differentiation and assessment of corneal endothelial changes associated with diseases of the anterior segment of the eye. Aust N Z J Ophthalmol. 1987 Feb;15(1):65–70. doi: 10.1111/j.1442-9071.1987.tb00306.x. [DOI] [PubMed] [Google Scholar]
  5. Brooks A. M., Grant G., Gillies W. E. The influence of superficial epithelial keratopathy on the corneal endothelium. Ophthalmology. 1989 May;96(5):704–708. doi: 10.1016/s0161-6420(89)32834-x. [DOI] [PubMed] [Google Scholar]
  6. Gorovoy M. S., Stern G. A., Hood C. I., Allen C. Intrastromal noninflammatory bacterial colonization of a corneal graft. Arch Ophthalmol. 1983 Nov;101(11):1749–1752. doi: 10.1001/archopht.1983.01040020751018. [DOI] [PubMed] [Google Scholar]
  7. Hartmann C. Die "indirekte"Spiegelmikroskopie. Eine neue Technik zur In-vivo-Untersuchung der Hornhautrückfläche. Ophthalmologica. 1981;183(4):177–186. doi: 10.1159/000309163. [DOI] [PubMed] [Google Scholar]
  8. Høisen H., Ringvold A., Kildahl-Andersen O. Corneal crystalline deposits in multiple myeloma. A case report. Acta Ophthalmol (Copenh) 1983 Jun;61(3):493–500. doi: 10.1111/j.1755-3768.1983.tb01450.x. [DOI] [PubMed] [Google Scholar]
  9. Meisler D. M., Langston R. H., Naab T. J., Aaby A. A., McMahon J. T., Tubbs R. R. Infectious crystalline keratopathy. Am J Ophthalmol. 1984 Mar;97(3):337–343. doi: 10.1016/0002-9394(84)90633-0. [DOI] [PubMed] [Google Scholar]
  10. Miller K. H., Green W. R., Stark W. J., Wells H. A., Mendelsohn G., Kanhofer H. Immunoprotein deposition in the cornea. Ophthalmology. 1980 Sep;87(9):944–950. doi: 10.1016/s0161-6420(80)35154-3. [DOI] [PubMed] [Google Scholar]
  11. Pararajasegaram P., Mower G., Barras C. W., Coster D. J. An unusual case of crystalline keratopathy. Aust N Z J Ophthalmol. 1990 May;18(2):155–157. doi: 10.1111/j.1442-9071.1990.tb00607.x. [DOI] [PubMed] [Google Scholar]
  12. Samples J. R., Baumgartner S. D., Binder P. S. Infectious crystalline keratopathy: an electron microscope analysis. Cornea. 1985;4(2):118–126. [PubMed] [Google Scholar]
  13. Sherrard E. S., Buckley R. J. The relief mode. New application of the corneal specular microscope. Arch Ophthalmol. 1982 Feb;100(2):296–300. doi: 10.1001/archopht.1982.01030030298014. [DOI] [PubMed] [Google Scholar]
  14. Sutton G. L., Miller R. C., Robinson L. P. Infectious crystalline keratopathy. Aust N Z J Ophthalmol. 1990 May;18(2):151–153. doi: 10.1111/j.1442-9071.1990.tb00606.x. [DOI] [PubMed] [Google Scholar]

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