The most common health effects with prolonged exposure to silver are the development of a characteristic irreversible pigmentation of the skin (argyria) and/or the eyes (argyrosis).4 Affected areas include hands, eyes, and mucous membranes in most patients. Discoloration of the ocular surface is the main ocular evidence in these patients.4 A direct relationship was shown between the amount of discoloration and total exposure time.4 If fine particles of silver are rubbed into the eyes, localized argyrosis may develop over time.4 Generalized argyria is recognized by a widespread pigmentation of the skin, eyes, and nails and may occur when silver compounds are applied to mucosal surfaces, inhaled, ingested, or injected into the body. Similarly, our patient had conjunctival, corneal pigmentation as well as skin, nail, and dental pigmentation resulting from occupational contact. Although the exact mechanism for black tears is not very clear, we believe that mechanical inoculation (rubbing into the eyes) is the cause.4 The pigmentation resulting from silver deposits is irreversible. Chelation therapy and dermabrasion are ineffective in removing silver deposits from the body. There is no known effective treatment for argyria. Besides argyria and argyrosis, exposure to soluble silver compounds may lead to other toxic effects such as liver and kidney damage, irritation of the eyes, skin, respiratory tract, and intestinal tract, and changes in blood cells. In systemic evaluation, only fatty degeneration of the liver was detected in our patient.