Abstract
A 66-year-old man, diagnosed with phacolytic glaucoma, had visual acuity (VA) of light perception, iridescent opacities in the anterior chamber (AC), dense cataract (A), and elevated intraocular pressure in the right eye. One week after cataract surgery, his VA was hand motion. Iridescent crystals were noted behind the intact posterior capsule in the vitreous. (B) Fundus examination showed "snowflake" opacities in the vitreous, obscuring the details of the retina. (C) Twelve weeks later, VA improved to 20/50 and the opacities in the vitreous were noted to have decreased. (D) These "snowflake" vitreous opacities are probably cholesterol crystals similar to those found in the AC, which leak through the intact posterior capsule in phacolytic glaucoma. It is a self-limiting entity, not requiring any intervention (Magnified version of Figure A-D is available online at www.aaojournal.org).
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