To the Editor.
—In the June 1991 issue of the Archives, my colleagues and I reported the case of an 85-year-old man with a large pigmented episcleral mass over the insertion of the lateral rectus muscle secondary to silver deposition.1 Sixty-seven years before our examination, he had undergone strabismus surgery; we postulated that the argyria may have been secondary to the instillation of silver nitrate collyrium after strabismus surgery or to a silver-impregnated suture.Since the publication of our report, two physicians have written to me concerning patients with similar conditions whom they had evaluated. Craig W. George, MD, Alliance, Ohio, performed surgery 25 years ago on a woman with long-standing exotropia who had undergone strabismus surgery in the early part of this century. At operation, a silver clip was found on the extraocular muscle. Antoon Missotten, MD, Hasselt, Belgium, wrote that he has examined four patients with similar
Bartley GB. Argyrosis Secondary to a Silver Extraocular Muscle Clip. Arch Ophthalmol. 1992;110(5):596. doi:10.1001/archopht.1992.01080170018003