Delhi Journal of Ophthalmology

Transparent Corneal Foreign Body - A Diagnostic Challenge in Children

Jitender Jinagal, Gaurav Gupta, Deepak Chandra Maurya, Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Jagat Ram 
MS
Professor of Ophthalmology
Advanced Eye Center,
Director, Post Graduate Institute of Medical Education and Research (PGIMER)
Sector 12, Chandigarh - 160012, India
Email id: drjagatram@gmail.com


Published Online: 01-NOV-2018
DOI: http://dx.doi.org/10.7869/djo.397

Abstract
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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