Asteroid Hyalosis

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fection In an ar d l u In c f l O a f m Journal of Ocular Infection and o m l a a t n i r o u Chekhchar, J Ocul Infect Inflamm 2017, 1:1 n o J Inflammation Clinical Images Open Access Asteroid Hyalosis Mariam Chekhchar* Department of Ophthalmology, Avicenne Military Hospital of Marrakech, Morocco *Corresponding author: Mariam Chekhchar, Department of Ophthalmology, Avicenne Military Hospital of Marrakech, Morocco, Tel: 212661560412; E-mail: [email protected] Rec date: October 17, 2017; Acc date: November 01, 2017; Pub date: November 03, 2017 Copyright: © 2017 Chekhchar M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Citation: Chekhchar M (2017) Asteroid Hyalosis . J Ocul Infect Inflamm 1: i101. Clinical Image Asteroid hyalosis (AH) is a degenerative vitreous disease. Benson, in 1894, was the first to describe and accurately differentiate AH from synthesis scintilla's [1]. AH is a common clinical entity in which calcium-lipid complexes are suspended throughout the collagen fibrils of the vitreous [2]. It often presents unilaterally with more prevalence in men, and has been associated systemically with diabetic mellitus, arterial hypertension, and hypercholesterolemia [3]. A 92-year-old man, with type 2 diabetes mellitus was admitted to the ophthalmology department having complains of floaters in the left eye, which began 2 months prior. The patient underwent cataract surgery in his right eye 15 year ago and in his left eye 10 year ago. After refraction, his best-corrected visual acuity was 0.6 in both eyes. Slit- lamp examination of the left eye revealed multiple small white opacities of varying size, shape, and density within the vitreous that Figure 2: Fundus Examination of the left eye. moved with eye movement (Figure 1). Fundus examination, after dilating the pupils did not show any abnormality (Figure 2) while the ophthalmoscopic examination of the right eye was normal. Slit-lamp examination of eyes with AH show many light-yellow mobile opacities, which look like shining stars or asteroids in the night sky [4]. The exact mechanism of formation of asteroid bodies is unknown, but it can be associated with diabetes mellitus, hypertension and hypercholesterolemia. The asteroid bodies exhibit structural and elemental similarity to hydroxyapatite [3]. AH rarely causes visual disturbances, and surgical removal is only rarely required [5]. Vitrectomy may occasionally be indicated, for both diagnostic and therapeutic purposes. Despite the impressive appearance, asteroid hyalosis is typically asymptomatic and requires no treatment. References 1. Benson AH (1894) Disease of the vitreous: A case of monocular asteroid hyalitis. Trans Ophthalmol Soc UK 14: 101-104. 2. Schubert HD (2015) 2014-2015 Basic and clinical science course, Section 12: Retina and vitreous. American Academy of Ophthalmology pp: 311-312. 3. Gologorsky D, Spierer O (2017) Asteroid hyalosis. Eur J Intern Med 6205: 30174-30177. Figure 1: Slit lamp examination of the left eye. 4. Belhassan S, Daoudi R (2014) Low visual acuity and asteroid hyalosis. Pan Afr Med J 18: 247. 5. Noda S, Hayasaka S, Setogawa T (1993) Patients with asteroid hyalosis and visible floaters. JPN J Ophthalmol 37: 452-455. J Ocul Infect Inflamm, an open access journal Volume 1 • Issue 1 • 1000i101.

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Floaters-Survey-Ophthalmol-2016.Pdf
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