Case Study: February 2010


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.


1. What are these eosinophilic structures?

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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.


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.