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Corneal chalcosis following blast injury
  1. Charuta Puranik1,
  2. Sunita Chaurasia1,
  3. Muralidhar Ramappa1,
  4. Virender Sangwan1,
  5. Dorairajan Balasubramanian2
  1. 1Cornea and Anterior Segment Services, LV Prasad Eye Institute, Hyderabad, India
  2. 2Champalimaud Translational Center for Eye Research, LV Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Dr Sunita Chaurasia, Cornea and Anterior Segment Services, LV Prasad Eye Institute, Kallam Anji Reddy Campus, LV Prasad Marg, Banjara Hills, Hyderabad 500 034, India; sunita{at}lvpei.org

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Case

A 54-year-old man presented with irritation and progressive blurring of the vision in the right eye during the preceding 2 months. He was an unfortunate victim of a terrorist bomb blast attack, which happened in a shopping mall complex 2 years previously. As he had received a severe ocular injury, the left eye had been enucleated. At this presentation, the visual acuity in the right eye was 20/160, improving to 20/20 with correction. Slit lamp examination of the right eye showed a deep stromal foreign body in the nasal mid-peripheral area near the 3 o' clock location (figure 1). The epithelium and stroma showed a reddish-brown hue in a 3–4 mm zone around the foreign body. The Descemet membrane and the endothelium showed a golden-brown metallic sheen along with guttate changes and radiating folds arising from the site of the foreign body (see online video). The anterior chamber was quiet, the pupil was round, regular and reacting normally, and the lens was clear. The fundus examination did not reveal any abnormality. The left eye socket was healthy, with a well-fitting prosthesis in place. Intraocular pressure was 10 mm Hg in the right eye. The patient's examination records at the time of the blast injury and later follow-up visits revealed a visual acuity of 20/20 and a retained deep stromal corneal foreign body in the …

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