Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
A 5-years-old male, presented with unilateral itching, watering and photophobia, treated as allergic conjunctivitis elsewhere, with no improvement. On slit-lamp biomicroscopy, a shining reflex in superficial stroma was noted and anterior segment optical coherence tomography (AS-OCT) was suggestive o...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-10-01
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| Series: | Delhi Journal of Ophthalmology |
| Online Access: | https://journals.lww.com/10.7869/djo.397 |
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| Summary: | A 5-years-old male, presented with unilateral itching, watering and photophobia, treated as allergic conjunctivitis elsewhere, with no improvement. On slit-lamp biomicroscopy, a shining reflex in superficial stroma was noted and anterior segment optical coherence tomography (AS-OCT) was suggestive of some foreign body (FB). On examination under anaesthesia, thin transparent plastic paper sheet FB was found and removed. Postoperatively, the FB impaction site was healed and replaced by a nebular corneal opacity. To conclude, careful examination as well as AS-OCT is helpful in detection of retained transparent intra-corneal foreign bodies especially in paediatric age group, in which history is not always reliable. |
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| ISSN: | 0972-0200 2454-2784 |