Cholesterolosis Bulbi in an Eye with Retinal Capillary Hemangioma: A Rare Association with Chemical Analysis.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.1159/000545564

Abdelwahab Aleshawi, Rami Al-Dwairi, Mohammad Al Qudah, Abdallah Sharayah, Mahmood Al Nuaimi, Hashem Abu Serhan

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Abstract

Introduction: Cholesterolosis bulbi is an ocular condition characterized by the accumulation of cholesterol crystals in the vitreous cavity. This case describes the development of anterior chamber cholesterolosis bulbi secondary to retinal capillary hemangioma.

Case presentation: A 26-year-old female, tested negative for von Hippel-Lindau (VHL) syndrome, presented with yellow shinny crystals filling the anterior chamber of the left eye and similar depositions filling the vitreous cavity along with reactivated hemangioma with new feeder vessels. She was diagnosed previously with bilateral capillary retinal hemangiomas. Anterior chamber and vitreous washout and endo-laser photocoagulation for the hemangioma were performed. Analysis of the aqueous sample revealed numerous well-demarcated, rectangular, or polygonal lipid-like crystals on light microscopy. Cholesterolosis bulbi secondary to retinal capillary hemangioma was established.

Conclusions: Cholesterolosis bulbi secondary to retinal capillary hemangioma is a rare association and would warrant for extensive tumor or associated complications.

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伴有视网膜毛细血管瘤的眼球胆固醇升高：与化学分析的罕见关联。

球型胆固醇沉着症是一种眼部疾病，其特征是在玻璃体腔内积聚胆固醇晶体。这个病例描述了继发于视网膜毛细血管瘤的前房胆固醇升高。病例介绍：26岁女性，VHL综合征阴性，左眼前房充盈黄色亮晶体，玻璃体腔充盈类似沉积物，伴新生血管的血管瘤。她曾被诊断为双侧毛细血管视网膜血管瘤。行前房、玻璃体冲洗及激光光凝治疗血管瘤。在光学显微镜下，对含水样品的分析显示了许多划分清楚的、矩形的或多边形的脂质样晶体。继发于视网膜毛细血管瘤的球型胆固醇沉着症成立。结论：继发于视网膜毛细血管瘤的球型胆固醇血症是一种罕见的关联，可能需要广泛的肿瘤或相关并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.