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Chapter-11 Synchysis Scintillans (Cholesterolosis)

BOOK TITLE: OCT Angiography

Author
1. Kasumović Sanja Sefić
ISBN
9789352703319
DOI
10.5005/jp/books/18041_12
Edition
1/e
Publishing Year
2018
Pages
2
Author Affiliations
1. Private Eye Polyclinic “Dr Sefić”, Sarajevo, Bosnia and Herzegovina
Chapter keywords
Synchysis scintillans, cholesterolosis, fluorescein angiography, FAG, optical coherence tomography, OCT, asteroid hyalosis, AH, OCT angiography

Abstract

Synchysis scintillans is a degenerative condition of the eye, characterized by the appearance of yellow-whitish glowing crystals in vitreous, which are composed of cholesterol. They float in the anterior chamber of the eye and in the liquefied vitreous. Patients complain of motley floaters in their visual field, while the ophthalmologist notes them in the anterior and posterior segment of the eye. The condition is usually bilateral. Differential diagnosis includes asteroid hyalosis, emulsification of silicone oil, and stagnation of perfluorocarbon. Diagnosis is proved by the slit-lamp examination and ocular ultrasound. Fluorescein angiography (FAG) is not recommended and cannot assist in a diagnosis. Optical coherence tomography (OCT) B-scans can visualize hyperreflective dots in the vitreous.

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