The risk factors of onset are as follows: undergoing surgeries at a young age, microcornea, nuclear cataract and persistent hyperplastic primary vitreous (PHPV).
An experienced, astute clinician can often diagnose ICSC based solely upon the history and chief complaint-a young, anxious patient who presents with unilateral metamorphopsia of recent onset.
The extent of neutrophilic infiltrates, along with karyolysis and loss of cytoplasmic cross striations, is typical for an acute myocardial infarct of 1 to 4 days in duration from onset.
Perhaps they mistook the darkness of this chilly, lowering sky for the onset of night, or perhaps they sensed the arrival of a storm, and so returned early to the warmth of their wooden pigeonry.