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In vivo Structural Assessments of Ocular Disease in Rodent Models using Optical Coherence Tomography
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Optical coherence tomography findings in ocular argyrosis.
Ophthalmic Surgery, Lasers & Imaging Retina
|February 20, 2014
Summary
Colloidal silver ingestion can cause ocular argyrosis, a unique geographic maculopathy. This condition presents with slate gray skin, drusenoid deposits, and severe choroidal thinning.
Area of Science:
- Ophthalmology
- Toxicology
Background:
- Colloidal silver supplements are widely available.
- Systemic absorption of silver can lead to tissue deposition.
Observation:
- A 68-year-old man with a history of daily colloidal silver ingestion presented with slate gray skin discoloration.
- Ophthalmic examination revealed bilateral perimacular drusenoid deposits and marked choroidal thinning.
Findings:
- Optical coherence tomography (OCT) showed drusenoid deposits anterior to the inner segment ellipsoid band.
- Fluorescein angiography demonstrated a "silent choroid" pattern.
- Elevated serum silver levels confirmed systemic silver accumulation.
Implications:
- This case highlights ocular argyrosis as a potential consequence of chronic colloidal silver use.
- The findings suggest a link between systemic silver deposition and specific maculopathy patterns.
- Further research is needed to understand the long-term ocular effects of silver exposure.
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