oxalates and Eye-Manifestations

A post-mortem histological examination of the eyes of a case of primary hyperoxaluria revealed the presence of crystals in the ciliary processes and at the level of the retinal pigment epithelium. The crystallography study demonstrated that it consisted of wewhellite. The ocular lesions are compared with those found by other authors in primary hyperoxaluria, after prolonged methoxyflurane anaesthesia, after experimental administration of dibutyloxalic acid or naphthalene, and in the human retina in longstanding detachments. Most of the factors which give rise to the presence in the eye of oxalate and its selective precipitation in the midst of certain ocular tissues remain hypothetical. The retinal lesions observed in primary hyperoxaluria appear to be pathognomonic for hyperoxalaemia.

Topics: Adult; Animals; Ciliary Body; Electron Probe Microanalysis; Eye; Eye Manifestations; Humans; Inclusion Bodies; Male; Metabolism, Inborn Errors; Methoxyflurane; Microscopy, Electron, Scanning; Microscopy, Polarization; Naphthalenes; Oxalates; Pigment Epithelium of Eye; Rabbits; Retinal Detachment; X-Ray Diffraction

A presentation is given of the severe changes in the retina of a 26-year-old man caused by intraocular Calciumoxalate crystals with clinical, histological and polarizing optical findings. The stadia of the retinopathia oxalogenica are classified here.

Topics: Adult; Crystallization; Eye Manifestations; Histocytochemistry; Humans; Kidney Failure, Chronic; Male; Oxalates; Retina; Retinal Diseases