Pseudohypopyon in a Child With Elevated Intraocular Pressure and Progressive Deterioration of Visual Acuity

This case report aims to investigate the etiology of a pseudo-hypopyon in a 10-year-old boy with elevated intraocular pressure and progressive deterioration of visual acuity. The report seeks to elucidate potential underlying causes, clinical features, and diagnostic challenges associated with this rare ocular condition. The patient initially presented with a floating, white, circular object in the left eye, which progressed to redness, pain, and high intraocular pressure despite treatment with anti-inflammatory eye drops. Examination findings included gray-white deposits in the anterior chamber, increased intraocular pressure, and vitreous opacity. The patient's condition worsened over time, with increased intraocular pressure and decreased visual acuity, leading to consideration of potential diagnoses such as ciliary body medulloepithelioma, pigmented cysticercosis, or retinoblastoma. However, a definitive diagnosis could not be established due to the inability to perform a biopsy or surgical intervention without risking further complications.