Ocular argyrosis secondary to long-term ingestion of silver nitrate salts

Kesenia Stafeeva, Michael Erlanger, Raul Velez-Montoya, Jeffrey L OlsonDepartment of Ophthalmology, University of Colorado School of Medicine, Rocky Mountain Lions Eye Institute, Colorado, CO, USAAbstract: This case report describes the clinical, autofluorescence, and optical coherent tomography fin...

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Autores principales:	Olson JL, Stafeeva K, Erlanger M, Velez-Montoya R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/704370e7c13c4e4a8d90fd61775f8883
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spelling	oai:doaj.org-article:704370e7c13c4e4a8d90fd61775f88832021-12-02T02:48:12ZOcular argyrosis secondary to long-term ingestion of silver nitrate salts1177-54671177-5483https://doaj.org/article/704370e7c13c4e4a8d90fd61775f88832012-12-01T00:00:00Zhttp://www.dovepress.com/ocular-argyrosis-secondary-to-long-term-ingestion-of-silver-nitrate-sa-a11680https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Kesenia Stafeeva, Michael Erlanger, Raul Velez-Montoya, Jeffrey L OlsonDepartment of Ophthalmology, University of Colorado School of Medicine, Rocky Mountain Lions Eye Institute, Colorado, CO, USAAbstract: This case report describes the clinical, autofluorescence, and optical coherent tomography findings in a patient with panocular argyrosis secondary to chronic intake of diluted silver nitrate salts in his water supply. An 86-year-old Caucasian male with a distinctive gray-bluish hue of the skin presented to our clinic, having developed a slow decrease in visual acuity in both eyes and nyctalopia for the past 2 years. Based on the patient&#39;s history of chronic intake of silver nitrate salts and a positive skin biopsy (performed by the dermatology department, data not shown), a diagnosis of panocular argyrosis was made. Fluorescein angiography showed choroidal blockage with a completely dark choroid. Fundus autofluorescence was within normal limits. Optical coherent tomography showed multiple excrescences of retinal pigment epithelium in both eyes. Although the drusen-like changes on fundus examination and retinal pigment epithelium changes may account for the diminished vision, the presence of concomitant nyctalopia suggests underlying damage of the photoreceptors.Keywords: silver nitrate, argyria, ocular argyrosis, fundus autofluorescence, optical coherent tomographyOlson JLStafeeva KErlanger MVelez-Montoya RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 2033-2036 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Olson JL Stafeeva K Erlanger M Velez-Montoya R Ocular argyrosis secondary to long-term ingestion of silver nitrate salts
description	Kesenia Stafeeva, Michael Erlanger, Raul Velez-Montoya, Jeffrey L OlsonDepartment of Ophthalmology, University of Colorado School of Medicine, Rocky Mountain Lions Eye Institute, Colorado, CO, USAAbstract: This case report describes the clinical, autofluorescence, and optical coherent tomography findings in a patient with panocular argyrosis secondary to chronic intake of diluted silver nitrate salts in his water supply. An 86-year-old Caucasian male with a distinctive gray-bluish hue of the skin presented to our clinic, having developed a slow decrease in visual acuity in both eyes and nyctalopia for the past 2 years. Based on the patient&#39;s history of chronic intake of silver nitrate salts and a positive skin biopsy (performed by the dermatology department, data not shown), a diagnosis of panocular argyrosis was made. Fluorescein angiography showed choroidal blockage with a completely dark choroid. Fundus autofluorescence was within normal limits. Optical coherent tomography showed multiple excrescences of retinal pigment epithelium in both eyes. Although the drusen-like changes on fundus examination and retinal pigment epithelium changes may account for the diminished vision, the presence of concomitant nyctalopia suggests underlying damage of the photoreceptors.Keywords: silver nitrate, argyria, ocular argyrosis, fundus autofluorescence, optical coherent tomography
format	article
author	Olson JL Stafeeva K Erlanger M Velez-Montoya R
author_facet	Olson JL Stafeeva K Erlanger M Velez-Montoya R
author_sort	Olson JL
title	Ocular argyrosis secondary to long-term ingestion of silver nitrate salts
title_short	Ocular argyrosis secondary to long-term ingestion of silver nitrate salts
title_full	Ocular argyrosis secondary to long-term ingestion of silver nitrate salts
title_fullStr	Ocular argyrosis secondary to long-term ingestion of silver nitrate salts
title_full_unstemmed	Ocular argyrosis secondary to long-term ingestion of silver nitrate salts
title_sort	ocular argyrosis secondary to long-term ingestion of silver nitrate salts
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/704370e7c13c4e4a8d90fd61775f8883
work_keys_str_mv	AT olsonjl ocularargyrosissecondarytolongtermingestionofsilvernitratesalts AT stafeevak ocularargyrosissecondarytolongtermingestionofsilvernitratesalts AT erlangerm ocularargyrosissecondarytolongtermingestionofsilvernitratesalts AT velezmontoyar ocularargyrosissecondarytolongtermingestionofsilvernitratesalts
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Ocular argyrosis secondary to long-term ingestion of silver nitrate salts

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