Indian Journal of Ophthalmology

: 2019  |  Volume : 67  |  Issue : 10  |  Page : 1726-

Spontaneous Amsler's sign - A unique presentation

S Bala Murugan, Subhashini Manoharan, Kiruthika Devi Thiyagarajan 
 Department of Uveitis, Aravind Eye Hospital, Puducherry, India

Correspondence Address:
Dr. Subhashini Manoharan
Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam - 605 007, Puducherry

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

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 2020 Aug 14 ];67:1726-1726
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Full Text

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}

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1Liesegang TJ. Clinical features and prognosis in Fuchs' uveitis syndrome. Arch Ophthalmol 1982;100:1622-6.
2Perry HD, Yanoff M, Scheie HG. Rubeosis in Fuchs heterochromic iridocyclitis. Arch Ophthalmol 1975;93:337-9.
3Srinivasan S, Lyall D, Kiire C. Amsler-Verrey sign during cataract surgery in Fuchs heterochromic uveitis. BMJ Case Rep 2010;2010:bcr1120092456.
4Jones NP. Spontaneous hyphaema associated with anterior uveitis. Br J Ophthalmol 1994;78:420.