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Keratoconjunctivitis caused by an unusual retained conjunctival foreign body: a frequently unrecognized entity

Catti Muniswamy Kalavathy1, Pragya Parmar, Jayaraman Kaliamurthy

  • 1Department of Ophthalmology, Institute of Ophthalmology, Joseph Eye Hospital, Trichy, Tamil Nadu, India.

Indian Journal of Ophthalmology
|June 3, 2014
PubMed

Insights

Retained bindis can cause serious eye infections like keratoconjunctivitis in young children. Prompt removal is crucial for treatment and preventing vision loss.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology

Background:

  • Ocular foreign bodies are a common cause of injury in children.
  • Bindis, decorative forehead dots, can be inadvertently retained in the eye.

Purpose of the Study:

  • To report a case series of pediatric keratoconjunctivitis caused by retained bindis.
  • To highlight the clinical presentation and management of this specific type of ocular foreign body injury.

Main Methods:

  • A retrospective case series of six children (6 months to 3 years) diagnosed with ocular manifestations from retained bindis.
  • Data collected over an 11-year period (2000-2012) at a tertiary eye care center in Southern India.

Main Results:

  • All patients presented with unilateral redness, photophobia, lacrimation, and blepharospasm.
  • Diagnoses included mucopurulent conjunctivitis, suppurative keratitis, and corneal epithelial defects.
  • Five patients responded well to topical antibiotics post-removal; one required therapeutic keratoplasty.

Conclusions:

  • Unilateral keratitis and conjunctivitis in young children warrants consideration of a retained foreign body.
  • Early diagnosis and removal of retained bindis are essential for favorable visual outcomes.
Abstract

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