UNIVERSITY OPHTHALMOLOGY CONSULTANTS
 

CASE OF THE MONTH

CASE #6

 
WHAT ARE THE SLIT LAMP FINDINGS IN THE LEFT EYE?

Slit lamp examination of the left eye revealed mild conjunctival infection, a clear cornea, and a flat anterior chamber inferiorly with peripheral anterior synechiae extending inferiorly from the 3:30-o’clock to the 8:30-o’clock position. A partially opaque, white material that seemed gelatinous and crystalline had settled inferiorly, giving the appearance of a pseudohypopyon (Figure 1).

    FIGURE 1    
    White plaque of material OS   Slit lamp photograph showing white plaque of material in the inferior anterior chamber and posterior synechiae involving the superior half of the pupil.
         

A few mutton-fat keratic precipitates on the inferior corneal endothelium, 1+ cell, and scattered posterior synechiae (limiting the pupillary dilation to 3 mm) were present as well. The limited view of the lens revealed a white cataract with no visualization of the posterior lens surface or the anterior vitreous.

 

What additional noninvasive diagnostic study should be done?
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