Quiz: What is this white material floating around?

Quiz time: What is this white material as seen in this aphakic eye? The 75 year old patient was noted to have a nuclear sclerotic cataract and 20/60 vision. Ten years prior his best-corrected vision was 20/30 in each eye.

The eye is otherwise normal and quiet. There is no inflammation. The white particles appear to move quite freely within the eye. What do you think this is?

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2 Comments

  1. We have many patients of Asteroid hyalosis, OCT & Perimetry are not reliable!
    Who require vitrectomy?

    1. it depends on the clinical situation. If the dense asteroid hyalosis is preventing you from treating retinal disease, then a vitrectomy may be beneficial. In an asymptomatic patient without retinal disease, it may be better to leave the eye as is.

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