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Case Study: February 2010
History
A 30 year old female with a history of juvenile rheumatoid arthritis associated uveitis, is enucleated for a painful, blind eye.
Histological examination showed some rather curious eosinophilic bodies in the vitreous. See figure.
Questions
1. What are these eosinophilic structures?
1.The eosinophilc bodies are collections of haelon viscoelastic. Haelon is injected into the vitreous for chronic hypotony. Chronic hypotony is a particular problem in young uveitics.
References
Management of severe hypotony with intravitreal injection of Haelon. Cadera W, Harding PW, Gonder JR, Hooper PL. Can J Ophthalmol. 1993 Aug;28(5):236-7.
Management of severe hypotony with intravitreal injection of viscoelastic. Tosi GM, Schiff W, Barile G, Yoshida N, Chang S. Am J Ophthalmol. 2005 Nov;140(5):952-4.
Treatment of chronic ocular hypotony with intraocular application of sodium hyaluronate. Küçükerdönmez C, Beutel J, Bartz-Schmidt KU, Gelisken F. Br J Ophthalmol. 2009 Feb;93(2):235-9.
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