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Ophthalmic Image

Sunflower cataract in chalcosis bulbi

Agarwal, Richa; Goel, Yashpal1; Anand, Kamlesh

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Indian Journal of Ophthalmology: January 2019 - Volume 67 - Issue 1 - p 137-138
doi: 10.4103/ijo.IJO_1035_18
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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 [Fig. 1a]. 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 [Fig. 1b]. Fundus had focal pigmentary changes, chorioretinal atrophy, and a linear refractile foreign body approximately 3 mm long lying on the surface of retina inferotemporally [Fig. 1c]. Non-contrast computed tomography (NCCT) scan of orbit revealed a hyperdense speck in vitreous cavity abutting left posterolateral retina s/o foreign body [Fig. 1d]. 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.[12]

Figure 1:
Slit-lamp photograph showing sunflower cataract (a), Kayser–Fleischer ring (b), Fundus photograph (c), and non-contrast computed tomography orbit (d) suggestive of intraocular foreign body

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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There are no conflicts of interest.

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
2. Rao NA, Tso MO, Rosenthal AR. Chalcosis in the human eye. A clinicopathologic study Arch Ophthalmol. 1976;94:1379–84
© 2019 Indian Journal of Ophthalmology | Published by Wolters Kluwer – Medknow