|Year : 2022 | Volume
| Issue : 4 | Page : 1000
Multiple inert fiberglass corneal foreign bodies in a pediatric patient
Heather V Broyles1, Joseph W Fong2, Robert S Lowery3
1 Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, USA
2 Department of Ophthalmology, Hamilton Eye Institute, University of Tennessee, Memphis, TN, USA
3 Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences (UAMS); Department of Ophthalmology, Arkansas Children's Hospital, Little Rock, Arkansas, USA
|Date of Web Publication||11-Oct-2022|
Dr. Heather V Broyles
University of Arkansas for Medical Sciences, 4301 W. Markham Street, Little Rock, Arkansas 72205
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Broyles HV, Fong JW, Lowery RS. Multiple inert fiberglass corneal foreign bodies in a pediatric patient. Indian J Ophthalmol Case Rep 2022;2:1000
|How to cite this URL:|
Broyles HV, Fong JW, Lowery RS. Multiple inert fiberglass corneal foreign bodies in a pediatric patient. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Nov 30];2:1000. Available from: https://www.ijoreports.in/text.asp?2022/2/4/1000/358166
An 8-year-old male presented with tearing 3 days after his fishing pole snapped, propelling multiple foreign bodies into his left cornea. Distance visual acuity was 20/20 in each eye. Examination revealed multiple Seidel-negative fiberglass foreign bodies in the corneal stroma without evidence of inflammation or infection. Anterior segment optical coherence tomography showed multiple foreign bodies embedded in the stroma with an optical shadow projecting into the anterior chamber and overlying healed epithelium [Figure 1]. It was explained to the family that residual corneal scarring is possible regardless of removal due to penetration deep into Bowman's layer. However, the patient is at lower risk for amblyopia at this age. The family elected observation. Two months later, vision remained 20/20 without significant refractive error. This is consistent with a previous report of observation of an intraocular foreign body composed of inert material due to lack of inflammation.
|Figure 1: Anterior segment optical coherence tomography (AS-OCT, left and right) reveals foreign bodies penetrating partial-thickness through the cornea, with healed epithelium overlying them at the surface (arrows). Anterior segment photograph was obtained using an expired 20-diopter intraocular lens (IOL) placed over a smartphone camera lens|
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
American Academy of Ophthalmology. Section 8: External disease and cornea: Basic and clinical science course, 2020-2021. 14:399-401.
Mostafavi D, Olumba K, Shrier EM. Fiberglass intraocular foreign body with no initial ocular symptoms. Retin Cases Brief Rep 2014;8:10-2.