Asteroid hyalosis-a comprehensive review

Abstract

Asteroid hyalosis is a relatively common cause of vitreous opacities, which is possibly associated with diabetes mellitus and hereditary pigmentary retinopathies. We review the history, epidemiology, and biochemistry of asteroid hyalosis, as well as its relationship with ocular and systemic conditions. We describe imaging modalities used for diagnostic evaluations in cases of severe asteroid hyalosis and propose hypotheses regarding its lack of significant effects on vision. We discuss cataract surgery in patients with asteroid hyalosis and the selection of intraocular lenses for implantation.

Keywords: asteroid bodies; asteroid hyalosis; calcium soaps; collagen; hydroxyapatite crystals; light scattering; vision degrading myodesopsia; vitreous; vitreous floaters; vitreous opacities.