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Abstract #17466 Published in IGR 9-2

An unusual case of post-vitrectomy hypopyon

Harasymowycz P; Joyal H; Meunier C
Clinical and Refractive Optometry 2007; 18: 104-106+108-109


A 57-year-old white male with severe diabetes presented with pain and decreased vision in his right eye 11 days post-vitrectomy, for non-clearing vitreous hemorrhage secondary to uncontrolled proliferative diabetic retinopathy. Clinically, a red and inflamed eye with elevated intraocular pressure (IOP) and a pinkish hypopyon were noted in the anterior chamber (AC). As the contralateral eye was amblyopic, the patient was treated as having endophthalmitis, although the clinical picture was consistent with a diagnosis of ghost cell glaucoma. Vitreous and AC aspirates were sent for analysis to both microbiology and pathology labs. The pathologic report confirmed the diagnosis of ghost cell glaucoma, and described degenerated spherical tan-colored red blood cells, with the characteristic peripherally-located hemoglobin clumps known as Heinz bodies.

Dr. P. Harasymowycz, Department of Ophthalmology, Maisonneuve-Rosemont Hospital, 5689 Boul. Rosemont, Montreal, Que. H1T 2H1, Canada. pavloh@hotmail.com


Classification:

9.4.10 Glaucomas associated with hemorrhage (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)



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