Anton, German ophthalmologist, 1863-1939. See: Elschnig pearls, Elschnig spots, Koerber-Salus-Elschnig syndrome.
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Furthermore, wide verities of ocular abnormalities were noticed in preeclampsia and eclampsia which include papillophlebitis, white centered retinal hemorrhages, macular edema, Elschnig spots, retinal pigment epithelial (RPE) lesions, optic neuritis and atrophy, ischemic optic neuropathy, retinal artery and vein occlusion, exudative retinal detachment, and cortical blindness.
With time the residual LECs proliferate to form Elschnig's pearls or undergo metaplasia to myofibroblasts.
The disc contour was delineated by the inner margin of Elschnig's scleral ring, and the cup contour was delineated by the outer cup margin, which was indicated by the bending of the ONH vessels at the rim in accordance with the recommendations of the Japan Glaucoma Society Guideline for Glaucoma, 3rd edition [4].
A fundus examination can reveal hypertensive retinopathy (in 40-100% of cases), exudative retinal detachments, white-centered retinal hemorrhages, papillophlebitis, Elschnig spots, macular oedema, retinal pigment epithelial (RPE) defects, vascular occlusion, optic neuritis, optic atrophy, ischaemic optic neuropathy and cortical blindness.
The lens epithelial cells located on the equator tend to migrate along the posterior capsule in pathological cases and, instead of exhibiting fibrotic reaction, generally transform into large cellular structures called Elschnig pearls.
Mechanisms proposed include pupillary block due to an enlarging ring, progressive synechial angle closure without pupillary block, and acute angle closure from enlarged Elschnig pearl (proliferation of epithelial cells along posterior capsule) [4].
[17] Retinal pigment epithelial lesions called Elschnig spots, may also be found in preeclamptic patient with choroidal infarcts.
Based on slit lamp examination PCOs were divided into three groups of fibrosis, Elschnig pearls and wrinkling.
Idiopathic true exfoliation of the anterior lens capsule is rarely reported.1 It was first described by Elschnig in glass blowers where the identified risk factor was heat.
Twenty nine (58%) eyes had capsular fibrosis, 14(28%) had Elschnig pearls, 6(12%) had both capsular fibrosis and Elschnig pearls and one (2%) eye had capsular wrinkling.