KUMJ | VOL. 23 | NO. 4 | ISSUE 92 | OCTOBER-DECEMBER
Corneal Deposits in a Jeweler: A case of ocular argyrosis
Bhattarai K, Zarwan J, Bajracharya L, Pradhananga S
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.
Keyword : Corneal deposits, Jeweler, Ocular argyrosis