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Subconjunctival Urate Crystals: A Case Report

Sarma, Prafulla MS; Das, Dipankar MS; Deka, Panna MD; Deka, Akshay C MSMLT

doi: 10.1097/ICO.0b013e3181c58ecb
Case Report

Purpose: To report a case of localized subconjunctival urate crystals in a patient with gout.

Design: Single observational case report.

Methods: Case report.

Results: An 80-year-old woman who came for cataract surgery was incidentally found to have subconjunctival crystal deposits near the superior limbus in her left eye (OS). She was taking medications for gout and hypertension. Multiple conjunctival crystals were excised from the area before cataract surgery. Light microscopy under polarization revealed crystals, and histopathological examination confirmed gouty tophi.

Conclusion: Because subconjunctival urate crystals occur only rarely, ophthalmologists should be aware of this potential, particularly in patients with gout.

From the *Department of Ocular Pathology and Uveitis Services, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.

Received for publication November 24, 2008; revision received October 1, 2009; accepted October 9, 2009.

Commercial relationships: nil.

Competing interests: none.

Reprints: Dr. Dipankar Das, Department of Ocular Pathology and Uveitis Services, Sri Sankaradeva Nethralaya, Beltola, Guwahati 781028, Assam, India (e-mail:

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