Anton, German ophthalmologist, 1863-1939. See: Elschnig pearls, Elschnig spots, Koerber-Salus-Elschnig syndrome.
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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.
17] Retinal pigment epithelial lesions called Elschnig spots, may also be found in preeclamptic patient with choroidal infarcts.
Posteriormente, las celulas epiteliales se transforman en miofibroblastos y originan las opacidades conocidas como perlas de Elschnig.
Based on slit lamp examination PCOs were divided into three groups of fibrosis, Elschnig pearls and wrinkling.
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.
These patients may have severe hypertensive retinopathy findings such as retinal hemorrhage, subretinal serous fluid accumulation, papilledema, and Elschnig spots.
The main reason for development of PCO is transformation of residual lens epithelial cells from the equatorial region of the capsular bag into Elschnig pearls and fibroblasts6.
21) While most patients recover normal vision within a few weeks of delivery, some have residual RPE changes in the macula that appeaT as Elschnig spots or which mimic macular dystrophy or tapetoretinal degeneration (a group of inherited abnormalities in the retina characterized by night blindness, retinal atrophy, weakening of the retinal vessels, pigment clumping, and contraction of the visual field).
The capsule behind the optic was evaluated within a central area measuring 3 mm diameter with distinction being given to grading of Elschnig pearls and fibrosis.