title: Hip-implant related chorio-retinal cobalt toxicity.
abstract: A 39-year-old female with elevated serum cobalt levels from her bilateral hip prostheses presented with a 3-week history of blurred vision in her left eye. Optical coherence tomography revealed patchy degeneration of the photoreceptor-retinal pigment epithelium (RPE) complex. The lesions were hypofluorescent on indocyanine green angiography. We postulate that this is a case of implant-related chorio-retinal cobalt toxicity.
authors.affiliation: Department of Ophthalmology, South Australian Institute of Ophthalmology, Level 8, East Wing Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors.forename: Soo K
authors.initials: SK
authors.lastname: Ng
authors.forename: Andreas
authors.initials: A
authors.lastname: Ebneter
authors.forename: Jagjit S
authors.initials: JS
authors.lastname: Gilhotra
mesh_terms: D000328:Adult; D056833:Central Serous Chorioretinopathy / Q000097:blood / Q000139:chemically induced* / Q000175:diagnosis; D003035:Cobalt / Q000009:adverse effects* / Q000097:blood; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D055213:Retinal Pigment Epithelium / Q000187:drug effects / Q000473:pathology*; D041623:Tomography, Optical Coherence
chemical_list: D003035:Cobalt