Asteroid hyalosis is a benign vitreous condition characterized by numerous tiny, white-yellow calcium-lipid deposits suspended within the vitreous gel. These particles can look dramatic on fundus exam, often sparkling and highly reflective, yet they typically cause little to no visual symptoms. It’s most commonly unilateral and seen in older patients, with associations including diabetes and systemic metabolic conditions—though a direct cause isn’t always found. Despite its striking appearance,
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A 54-year-old woman presented for a routine eye examination and was found to have multiple sparkling opacities in the left eye (shown in a video), a finding consistent with asteroid hyalosis. https://nej.md/2Ms44dC | The New England Journal of Medicine
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