Case 58

Bridget Moran (Trinity College Dublin Medical Student)

Patient Presentation: A 51-year-old male presents for a routine eye examination with no visual complaints. He denies a history of floaters or vision loss. BCVA is 20/20 OU and IOP is within normal limits OU. Slit-lamp examination is normal in both eyes with no evidence of uveitis. Fundus examination of the left eye is normal, while examination of the right eye reveals yellow-white particles in the vitreous (shown below). The rest of the fundus examination was normal. 


OCT was subsequently performed on the right eye. 


Question: What is the most likely source of the pathology in the above image?

Question: On OCT, which of the following can present with hyper-reflective dots in the vitreous? 

Question: Which of the following is NOT considered to be a risk factor for the development of asteroid hyalosis?

Question: Which of the following statements about Asteroid Hyalosis is FALSE?

Learning Objectives:

  1. To identify OCT findings of asteroid hyalosis