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Button Battery-Induced Necrotizing Keratoconjunctivitis: Case Report
Nima Koosha1, Leila Babaei1, Mohsen Pourazizi1
1Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
A 2-year-old girl experienced severe eye inflammation after a button battery was lodged in her eye for over 48 hours. Prompt removal and treatment successfully managed the necrotizing keratoconjunctivitis.
Area of Science:
- Ophthalmology
- Pediatric Emergency Medicine
Background:
- Foreign body ingestion is common in young children.
- Button battery ingestion poses a significant risk for esophageal and airway burns.
Observation:
- A 2-year-old girl presented with a button battery in her left eye's inferior fornix for over 48 hours.
- The retained button battery led to necrotizing keratoconjunctivitis.
Findings:
- Necrotizing keratoconjunctivitis is a severe complication of retained button batteries in the eye.
- Treatment involved prompt button battery removal, antibiotics, amniotic membrane graft, and supportive care.
Implications:
- Early recognition and management of ocular button battery foreign bodies are crucial.
- Aggressive treatment is necessary to prevent vision loss from severe ocular surface damage.
Abstract:
We report a case of a 2-year-old girl who presented to the ocular emergency department with a button battery retained in the inferior fornix of the left eye for more than 48 hours. The child developed necrotizing keratoconjunctivitis, which was treated with antibiotics, amniotic membrane graft, prompt removal of button battery, and other supportive measures.
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