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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 137-138

Sunflower cataract in chalcosis bulbi


1 Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India
2 Department of Ophthalmology, EyeQ Superspeciality Hospital, New Delhi, India

Date of Web Publication21-Dec-2018

Correspondence Address:
Dr. Richa Agarwal
Flat 72, tower-13, Supreme Enclave, Mayur Vihar 1, New Delhi - 110 091
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1035_18

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How to cite this article:
Agarwal R, Goel Y, Anand K. Sunflower cataract in chalcosis bulbi. Indian J Ophthalmol 2019;67:137-8

How to cite this URL:
Agarwal R, Goel Y, Anand K. Sunflower cataract in chalcosis bulbi. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jun 16];67:137-8. Available from: http://www.ijo.in/text.asp?2019/67/1/137/248111



A 30-year-old man presented with low vision in the left eye for last 9 months following trauma with wire. His best-corrected visual acuity was 20/20 in the right eye and 20/200 in the left eye. Slit-lamp examination revealed flower-shaped brown opacities in the anterior and posterior pole of lens in the left eye [Figure 1]a. Yellow–brown granular deposition was seen in deeper layer of cornea (descemets membrane) all along the circumference of the corneoscleral junction suggestive of the Kayser–Fleischer ring [Figure 1]b. Fundus had focal pigmentary changes, chorioretinal atrophy, and a linear refractile foreign body approximately 3 mm long lying on the surface of retina inferotemporally [Figure 1]c. Non-contrast computed tomography (NCCT) scan of orbit revealed a hyperdense speck in vitreous cavity abutting left posterolateral retina s/o foreign body [Figure 1]d. The patient was advised to undergo pars plana viterectomy with foreign body removal and cataract surgery. Sunflower cataract and Kayser–Fleisher ring are classically seen in copper-induced chalcosis bulbi.[1],[2]
Figure 1: Slit-lamp photograph showing sunflower cataract (a),  Kayser-Fleischer ring More Details (b), Fundus photograph (c), and non-contrast computed tomography orbit (d) suggestive of intraocular foreign body

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ugarte M, Nicol DA, Jones NP, Charles SJ. Chronic intraocular copper foreign body and candida: A unique combination. Ocul Immunol Inflamm 2009;17:356-60.  Back to cited text no. 1
    
2.
Rao NA, Tso MO, Rosenthal AR. Chalcosis in the human eye. A clinicopathologic study. Arch Ophthalmol 1976;94:1379-84.  Back to cited text no. 2
    


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