Fuchs (1) syndrome (heterochromic cyclitis syndrome)

General: Etiology unknown; mild infective cyclitis is the most l 939h74j ikely cause; etiology remains unclear, although it is likely to be autoimmune; positive epidemiologic association with ocular toxoplasmosis has been investigated.

Ocular: Secondary glaucoma; unilateral hypochromic heterochromia; painless cyclitis with absence of synechiae and little or no ciliary injection; secondary cataract; vitreous opacities; small white discrete keratic precipitates with fine filaments between the precipitates; corneal epithelium may be slightly edematous; peripheral choroiditis occasionally; keratoconus.

Clinical: Occasional dysraphia of the cervical cord.

Duane TD. Clinical Ophthalmology. Philadelphia: JB Lippincott, 1987.

Fuchs E. Uber Komplikationen der Heterochromie. Z Augenheilkd 1906; 15:191.

Rutzen AR, Raizman MB. Fuchs' heterochromic iridocyclitis. In: Albert DM, Jakobiec FA, eds. Principles and Practice of Ophthalmology, vol. I. Philadelphia: WB Saunders, 1994:503.

Smith RE, O'Connor GR. Cataract extraction in Fuchs syndrome. Arch Ophthalmol 1974; 91:39.