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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 10  |  Page : 1726

Spontaneous Amsler's sign - A unique presentation


Department of Uveitis, Aravind Eye Hospital, Puducherry, India

Date of Web Publication23-Sep-2019

Correspondence Address:
Dr. Subhashini Manoharan
Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam - 605 007, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_393_19

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How to cite this article:
Murugan S B, Manoharan S, Thiyagarajan KD. Spontaneous Amsler's sign - A unique presentation. Indian J Ophthalmol 2019;67:1726

How to cite this URL:
Murugan S B, Manoharan S, Thiyagarajan KD. Spontaneous Amsler's sign - A unique presentation. Indian J Ophthalmol [serial online] 2019 [cited 2019 Oct 17];67:1726. Available from: http://www.ijo.in/text.asp?2019/67/10/1726/267442



Amsler's sign is the characteristic filiform haemorrhage and hyphaema seen in cases of Fuch's heterochromic iritis, following the needle removal during paracentesis.[1] The source of bleeding is from abnormal fragile iris vessels.[2] It commonly occurs after procedures like applanation tonometry, gonioscopy and even during pharmacological mydriasis.[1] Unusual presentations have been reported after Honan ball use, peribulbar block, and intraoperatively.[3] Six cases of spontaneous Amsler's sign without any intervention have been reported, where two of them were seen only through gonioscopy.[1] [Figure 1] shows spontaneous microscopic hyphaema during routine preoperative examination that could be attributed to trivial trauma like eye rubbing.[4]
Figure 1: (a) Spontaneous filiform haemorrhage (arrowhead) in Fuch's heterochromic iridocyclitis with stellate Keratic precipitates (arrow) and mature cataract (star). (b) Hyphaema (arrowhead) captured gonioscopically in the same patient

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  References Top

1.
Liesegang TJ. Clinical features and prognosis in Fuchs' uveitis syndrome. Arch Ophthalmol 1982;100:1622-6.  Back to cited text no. 1
    
2.
Perry HD, Yanoff M, Scheie HG. Rubeosis in Fuchs heterochromic iridocyclitis. Arch Ophthalmol 1975;93:337-9.  Back to cited text no. 2
    
3.
Srinivasan S, Lyall D, Kiire C. Amsler-Verrey sign during cataract surgery in Fuchs heterochromic uveitis. BMJ Case Rep 2010;2010:bcr1120092456.  Back to cited text no. 3
    
4.
Jones NP. Spontaneous hyphaema associated with anterior uveitis. Br J Ophthalmol 1994;78:420.  Back to cited text no. 4
    


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