Unusual Case of a Graphite Foreign Body in the Anterior Chamber

Amritanand, Anika; John, Swen-Malte; Philip, Swetha Sara; John, Deepa Regina; David, Sachin

doi:10.4081/cp.2011.e73

Cited by 11 publications

(9 citation statements)

References 8 publications

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“…No inflammatory reaction was observed in the anterior chamber and surgery was performed to remove the foreign body. 9 No anterior chamber inflammation occurred during the 1-month follow-up period (with tapering topical steroid and cycloplegic agent as medical therapy). A case reported by Gül et al 8 presented with severely reduced vision (CF at 2 m) following ocular trauma by pencil.…”

Section: Discussionmentioning

confidence: 98%

“…However, potential toxicity due to the other components is controversial. 5 , 9 The first reported case of intracorneal carbon particles was presented by Jeng et al 2 The patient presented due to a chemical injury to the right eye and silver-gray crystalline opacities were observed in the corneal stroma. It was learned that the patient had sustained a pencil injury to the left eye 8 years earlier.…”

Section: Discussionmentioning

confidence: 99%

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Eye Injuries from Pencil Lead: Three Cases

Arıcı¹,

Arslan²,

Görgülü³

et al. 2017

tjo

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Corneal stromal and/or penetrating ocular injuries from pencils and pencil lead are more common in childhood and may lead to intraocular infection or severe intraocular sterile inflammatory reaction. Herein we report 3 children with ocular trauma due to pencil lead injuries. The first case had corneal stromal injury caused by a pencil. In the second case, a pencil perforated the cornea and contacted the iris. In the third case, pencil lead perforated both the cornea and iris and reached the vitreous through the lens zonules. Intracameral triamcinolone (2 mg/0.05 mL) was injected after the pencil lead was removed from the eyeball. Topical anti-inflammatory and cycloplegic drops were prescribed. In conclusion, corneal and especially penetrating ocular injuries from pencil lead may have a good prognosis with the use of appropriate anti-inflammatory and prophylactic antibiotic treatment and follow-up.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Eye Injuries from Pencil Lead: Three Cases

Arıcı¹,

Arslan²,

Görgülü³

et al. 2017

tjo

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“…Yabancı cismin çıkartılması ve ön kamaradan karbon partiküllerinin temizlenmesi sonrasında topikal steroid ve siklopentolat kullandıklarını, hastanın izlemlerinde intraoküler enfeksiyon ve toksisite bulgusu saptanmadığını bildirmişlerdir. 8 Ulusal literatürde, çocukluk çağı göz travmalarının %4,3'ünün kalem ve silgi gibi materyeller ile olduğu, ayrıca çocukluk çağı delici göz yaralanmalarında kalem ile olan yaralanmalara %2,3'lük bir sıklıkla karşılaşıldığı bildirilmiştir. 9,10 Olgumuzda da aynı gün, korneal penetrasyona neden olan kurşun kalem ucu çıkarıldı, ön kamara lavajı yapılarak karbon partikülleriyle birlikte lens ve iris önündeki siklitik membranlar temizlendi.…”

Section: Discussionunclassified

Corneal Penetrated Injury with Pencil

Mayalı¹,

Biçak²,

Kurt³

2019

Turkiye Klinikleri J Ophthalmol

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küler penetran yaralanmalar çocukluk yaş grubunda sık gözlenen ve ciddi görme kaybına yol açabilen nedenlerdendir. 1 Cam, plastik, kirpik, metal, taş ve tahta gibi yabancı cisimler etiyolojide sıklıkla karşımıza çıkmakta, ancak kurşun kalem ile olan travmalar oldukça nadir görülmektedir. 2,3 Kurşun kalem uçları ana madde olarak grafit bulundurmakta ve meydana gelen oküler yaralanmada kalem ucunda bulunan grafit tanecikleri göz içerisine saçılıp, birikimler oluşturabilmektedir. Saçılan grafit parçacıkları inaktif kalabileceği gibi ciddi inflamatuar reaksiyonlarada neden olabilmektedir. 4Bu çalışmada, kurşun kalem ile meydana gelen korneal penetran travma sonrası, ön kamarada hızlı inflamatuar yanıt gelişen olgunun su-Turkiye Klinikleri J Ophthalmol. 2019;28(3):215-8 215 Re ce i ved:

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“…Four eyes of four children were penetrated by sharp pencils, and the graphite lead remained in the eye after the pencil was removed, which is rarely seen in adults with IOFB. In fact, ocular injuries caused by pencils are not rare in children and include penetration of the eye wall, traumatic cataract, endophthalmitis, and pencil lead retained in the anterior chamber [ 9 ] or posterior segment. Pencil fragments left in the eye after orbital or orbitocranial penetrating injuries can even be life and vision threatening [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China

Zhang

Zhuang

Wang

et al. 2018

Journal of Ophthalmology

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Purpose To report the long-term follow-up results of posterior segment intraocular foreign body (IOFB) removal in children and to determine the prognostic factors for visual outcome. Methods Design: retrospective, noncomparative, interventional case series; a single tertiary care center study. Participants or samples: eleven eyes (11 patients) under 16 years of age with posterior segment IOFB injuries from May 2014 to November 2017. Main outcome measures: clinical features of injury, visual acuity, and complications. Results The mean age was 6.8 years, and the mean follow-up was 20.2 months. The main IOFB sources were accidental penetration of the eye by materials in the playground (6 cases) or by pencil lead at school (4 cases). The mean IOFB size was 3.8 (range 1–6) mm. At the last visit, the visual acuities were 20/40 or better in 40.0% of patients and better than 20/200 in 70.0%. Poor visual outcome was correlated with intraoperative rhegmatogenous retinal detachment (P=0.0083). Postoperative complications included elevated transient intraocular pressure, retinal redetachment, and secondary glaucoma. Conclusions The clinical features of pediatric posterior segment IOFBs suggest insufficient awareness of such injuries both on the playground and at school. Visual outcomes from surgical treatment were relatively favorable in this series.

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Unusual Case of a Graphite Foreign Body in the Anterior Chamber

Cited by 11 publications

References 8 publications

Eye Injuries from Pencil Lead: Three Cases

Eye Injuries from Pencil Lead: Three Cases

Corneal Penetrated Injury with Pencil

Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China

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