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: Jitender Jinagal, Gaurav Gupta, Deepak Chandra Maurya, Jagat Ram
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-10-01
Series:Delhi Journal of Ophthalmology
Online Access:https://journals.lww.com/10.7869/djo.397
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author Jitender Jinagal
Gaurav Gupta
Deepak Chandra Maurya
Jagat Ram
author_facet Jitender Jinagal
Gaurav Gupta
Deepak Chandra Maurya
Jagat Ram
author_sort Jitender Jinagal
collection DOAJ
description 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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institution DOAJ
issn 0972-0200
2454-2784
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publishDate 2018-10-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-9774815439324cb5baef39da6fec615e2025-08-20T03:11:57ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842018-10-01292495010.7869/djo.397Transparent Corneal Foreign Body - A Diagnostic Challenge in ChildrenJitender JinagalGaurav GuptaDeepak Chandra MauryaJagat RamA 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.https://journals.lww.com/10.7869/djo.397
spellingShingle Jitender Jinagal
Gaurav Gupta
Deepak Chandra Maurya
Jagat Ram
Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
Delhi Journal of Ophthalmology
title Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
title_full Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
title_fullStr Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
title_full_unstemmed Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
title_short Transparent Corneal Foreign Body - A Diagnostic Challenge in Children
title_sort transparent corneal foreign body a diagnostic challenge in children
url https://journals.lww.com/10.7869/djo.397
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AT gauravgupta transparentcornealforeignbodyadiagnosticchallengeinchildren
AT deepakchandramaurya transparentcornealforeignbodyadiagnosticchallengeinchildren
AT jagatram transparentcornealforeignbodyadiagnosticchallengeinchildren