25 in the left eye; intraocular pressure was 16 mmHg in the right eye and 21 mmHg in the left eye; the right eye had mild anterior chamber inflammation with small mutton-fat keratic precipitates
, 2+ flare, and 3+ cells, respectively [Figure 1]a; dilated examination revealed vitreous hemorrhage with invisible fundus [Figure 1]b; and no significant finding was noted in the left eye.
In the left eye, diffuse, medium-sized brownish-gray keratic precipitates
(KP) were observed in the corneal endothelium (Figure 1) and 2+ cells were noted in the anterior chamber.
Endotheliitis can present with stromal edema and keratic precipitates
with cell and flare.
Slit lamp examination of the left eye showed diffuse blood vessel injection, mild corneal edema with fine inferior keratic precipitates
, fibrin reaction, and leukocytes in the anterior chamber without hypopyon (Figure 1).
For keratic precipitates
, central guttata The specular endothelial reflection provides a gross estimate of the endothelium in terms of cell density, pleomorphism and presence of guttata.
9) Iris nodules and 'mutton fat' keratic precipitates
are a feature of granulomatous disease such as sarcoidosis, tuberculosis (TB) or syphilis (see Figure 1) and sectorial iris atrophy is common in herpetic infections.
The diagnosis is right eye endophthalmitis sustained by anterior uveitis: keratic precipitates
, hypopyon, fibrinous exudate and posterior uveitis: vitreous haze, choroidal edema.
Slit lamp biomicroscopic examination of both eyes revealed keratic precipitates
(KP), severe inflammatory reaction in anterior chamber and vitreous humour (cellular reaction +3), posterior synechiae and opacities in the inferior part of vitreous.
8) In patients without corneal disease, the diagnosis of herpetic AU was based on clinical findings such as recurrent unilateral inflammatory attacks in the same eye, acute elevation of the intraocular pressure (IOP) (IOP>22 mmHg) during inflammatory episodes, diffusely distributed or localized granulomatous keratic precipitates
(KPs), patchy or sectoral iris atrophy with or without transillumination defects and distorted pupil or spiraling of the iris.
Patients were examined on postoperative day 1, 7, 14 & 28 for--Intraocular pressure, Anterior chamber cells and flare with slit lamp examination (graded according to the standardization of uveitis nomenclature), Best corrected visual acuity (BCVA) on day 28 and adverse effects like corneal oedema, keratic precipitates
, foreign body sensation, congestion, discomfort and watering etc.
5,9,10,11) Accordingly, cases exhibiting typically unilateral, chronic, low-grade anterior chamber reaction with varying degrees of vitreous opacity, widespread small- or medium-sized keratic precipitates
(KP) in the corneal epithelium, diffuse iris atrophy and/or heterochromia but without acute exacerbations, posterior synechiae or cystoid macular edema were clinically diagnosed with FUS.
Unlike uveitic glaucoma (Such as that seen in phacoanaphylactic glaucoma), no keratic precipitates
typically are present.