Jack A. Cohen

Acanthamoeba Endophthalmitis Following Penetrating Keratoplasty for Acanthamoeba Keratitis

membrane bilaterally. Fundus examination revealed no pigmentation. Dental, oral mucosal, skin, and nail pigmentation were evident (Figure 1F). The diagnosis of argyrosis was confirmed by conjunctival biopsy. It was possibly due to occupational inhalation of silver. The Scheimpflug image displayed hyperreflectivity corresponding to corneal pigment accumulation areas at the superficial layers (Figure 2A and B). Histopathologic examination of the incisional biopsy material revealed subepithelial extracellular silver particles in the lamina propria, which supported the diagnosis of argyrosis (Figure 2C and D). Systemic evaluation results were normal except for the presence of fatty degeneration of the liver.