Chalcosis is deposition of: September 2010, March 2013
## **Core Concept**
Chalcosis refers to the deposition of copper in the tissues, particularly in the eye. This condition often results from the wearing of copper-containing intraocular foreign bodies or from certain systemic diseases.
## **Why the Correct Answer is Right**
The correct answer, , indicates that chalcosis involves the deposition of copper. When copper particles are deposited in the tissues of the eye, they can cause a range of pathological changes, including the formation of a Kayser-Fleischer ring (copper deposition in Descemet's membrane of the cornea), sunflower cataract, and pigmentary retinopathy. The mechanism involves the toxic effect of copper ions on cellular function and the generation of reactive oxygen species.
## **Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because siderosis involves the deposition of iron, not copper. Siderosis occurs due to the presence of an iron-containing intraocular foreign body.
* **Option B:** This option is incorrect because it does not specify a metal and seems to be a distractor.
* **Option D:** This option is incorrect because it refers to the deposition of calcium, which is associated with conditions like calcific band keratopathy or metastatic calcification, not chalcosis.
## **Clinical Pearl / High-Yield Fact**
A key clinical correlation to remember is that patients with chalcosis may present with a range of ocular manifestations, including a characteristic "sunflower" cataract and pigmentary changes in the retina. A classic exam-relevant point is that the presence of a Kayser-Fleischer ring is a diagnostic feature of Wilson's disease, which is associated with copper deposition.
## **Correct Answer:** . Copper