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Corneal Deposits in a Jeweler: A case of ocular argyrosis
K Bhattarai1, J Zarwan2, L Bajracharya3
1Geta Eye Hospital, Geta, Kailali, Nepal.
Abstract:
Argyrosis refers to the accumulation of silver in the body, with ocular argyrosis specifically involving silver deposits in the eyelids, conjunctiva, cornea, and lens. The incidence of ocular argyrosis has markedly decreased following the discontinuation of silver-containing topical solutions and better safey precuationsin industrial workers. A 63 year old male, jeweler by profession, presented with gradually progressive diminution of vision of both eyes. Cornea showed diffuse confluent pigmentation at the level of Descemet's membrane. Anterior segment OCT showed distinct hyper reflective band indicative of silver deposits in Descemet's membrane. In developing countries, limited awareness about the risks of silver toxicity and insufficient occupational safety measures may contribute to cases of visually impairing ocular argyrosis. Increased safety precautions are necessary to prevent such occurrences.
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