Abstract:
PURPOSE:To report the clinical, histopathologic, and confocal findings of corneal siderosis. METHODS:A 35-year-old man presented after a car battery explosion with diffuse left corneal anterior stromal pigment deposition and an intraocular metallic foreign body of the left iris. The corneal pigment was analyzed by confocal microscopy and a lamellar corneal biopsy. RESULTS:Confocal microscopy showed the pigment to be highly reflective material in the corneal stroma with greatest density anteriorly. Histologic examination revealed the pigment to be iron with a diagnosis consistent with corneal siderosis. CONCLUSIONS:Corneal biopsy with Prussian blue established siderosis as the etiology of corneal pigmentation. A short delay in the removal of the foreign body contributed to the development of siderosis. The location of the foreign body on the iris may account for the predominant corneal involvement and relative sparing of the retina. Confocal microscopy may be useful in the evaluation of corneal siderosis.
journal_name
Corneajournal_title
Corneaauthors
Witherspoon SR,Hogan RN,Petroll WM,Mootha VVdoi
10.1097/ICO.0b013e318145330bsubject
Has Abstractpub_date
2007-12-01 00:00:00pages
1270-2issue
10eissn
0277-3740issn
1536-4798pii
00003226-200712000-00023journal_volume
26pub_type
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