Recently, numerous ocular imaging methods favoring an indirect presence of silver particles in ocular structures and subsequent functional effects have also been described.Īt present, we report a case of occupational OA in a young male presenting primarily with a complicated cataract. While these methods directly determine the presence of silver in the human body, their negative results do not refute the diagnosis of OA. Various invasive investigations such as serum silver levels and conjunctival biopsy have been described in the literature for its diagnosis. ,, , The diagnosis of OA is mainly established by characteristic history and presentation. Occupational ocular argyrosis (OA) is a rare disorder associated with long-term deposition of silver in the eye due to its occupational exposure. Multimodal ocular imaging in diagnosis and management of occupational ocular argyrosis.
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How to cite this URL: Agarwal R, Mahajan A, Kumar V, Sharma N. How to cite this article: Agarwal R, Mahajan A, Kumar V, Sharma N. Keywords: Ocular argyrosis, multimodal ocular imaging, occupational Postoperatively, the visual gain of 20/20 and normal fundus picture on indirect ophthalmoscopy, macular OCT, and fundus autofluorescence favored good prognosis in both eyes. Increased internal aberrations on aberrometric profile favoured phacoemulsification followed by intraocular lens implantation in both eyes. Multifocal electroretinogram showed a generalized decrease in sensitivity of P1 waves.
Anterior segment optical coherence tomography (OCT) and confocal microscopy suggested deposition of silver in various corneal layers.
His serum silver levels were raised and ocular examination revealed bilateral greenish brown corneal deposits and complicated cataract. A 39-year-old male patient, a silver utensils polisher for the past 30 years, presented with bilateral gradual diminution of vision (presently 20/200) for 2 years. Occupational ocular argyrosis is a rare disorder associated with accumulation of silver in the eye due to its occupational exposure.
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