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Suspected endothelial pencil graphite deposition.

Adem Gül1, Ertuğrul Can1, Ozlem Eşki Yücel1

  • 1Ondokuz Mayis University, Ophthalmology Department, Korfez Mah, Mehmet Akif Ersoy Bulvarı, No. 84/15, Atakum, 55100 Samsun, Turkey.

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A pencil tip lodged in the cornea caused significant eye inflammation. Intensive steroid treatment successfully resolved the foreign body and inflammation, preserving vision.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Ocular trauma can result from foreign bodies penetrating the cornea.
  • Pencil-induced eye injuries present unique challenges due to material composition and potential for intraocular lodging.

Purpose of the Study:

  • To report a case of intraocular foreign body from a pencil tip.
  • To describe the management and outcome of corneal and lens foreign body removal.

Main Methods:

  • Biomicroscopic examination to identify corneal foreign body.
  • Surgical removal of the corneal foreign body and wound closure.
  • Dilated fundus examination to assess intraocular structures.
  • Topical steroid therapy for inflammation management.

Main Results:

  • A pencil fragment was successfully removed from the cornea.
  • A small pencil tip fragment was identified on the lens.
  • Significant anterior chamber reaction was noted postoperatively.
  • Topical steroid treatment led to the resolution of the endothelial deposition and inflammation.

Conclusions:

  • Prompt surgical intervention is crucial for corneal foreign bodies.
  • Intensive topical steroid therapy can effectively manage post-traumatic intraocular inflammation and endothelial deposition.
  • Even small intraocular foreign bodies require careful monitoring and management.