Fuch's heterochromic cyclitis

There are small keratic precipitates scattered throughout the corneal endothelium (stellate 
keratic precipitates). The iris shows hypochromia (best seen in the day light) iris transillumination 
due to iris atrophy. There may be irregular fine vessels on the iris.
The patient may have posterior subcaspular cataract. The anterior chamber may have flare or 
cells. However, the conjunctiva is white. Posterior synechia does not occur.

Further examination:

  • the iris may contain abnormal iris vessels
  • check for the presence of trabeculectomy


1. How do you manage a patient with Fuch's heterochromic cyclitis?

2. What are the complications of cataract operation in Fuch's heterochromic cyclitis?

3. What are the differential diagnosis of heterochromia?

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