Sunflower cataract in chalcosis bulbi

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.[1,2]

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

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