Unusual foreign bodies in eyelids in childhood

Abstract

Purpose: To evaluate the importance of the foreign bodies in the eyelid of pediatric patients.

Method:  The charts of pediatric patients who referred to Department of Ophthalmology with eyelid trauma were retrospectively reviewed. Children with foreign bodies were included in the study.

Results: Seven of the 82 pediatric patients had foreign bodies in their eyelids.  Mean age of the children was 5,6±2.4 years. In all cases globe was intact but one who was injured with bullet. Five of 7 patients were injured outdoor. In 2 patients foreign bodies were organic. Only one patient, who had injury with bullet, had low vision; visual acuity was 20/20 in rest of the patients.

Conclusion: Detailed ophthalmic examination is crucial in trauma patients. Examination under general anesthesia and surgical intervention should be  kept in mind especially in children with unusual injuries.

Keywords

• eyelid,ocular trauma,foreign body,children,childhood

References

1. 1.Mayouego Kouam J, Epée E, Azria S, Enyama D, Omgbwa Eballe A, Ebana Mvogo C, et al. Epidemiological, clinical and therapeutic features of pediatric ocular injuries in an eye emergency unit in Île-de-France. J Fr Ophtalmol. 2015 Oct;38(8):743-51.
2. 2. Ainbinder DJ, O'Neill KP, Yagci A, Karcioglu ZA. Conjunctival mass formation with unexpected foreign body. J Pediatr Ophthalmol Strabismus. 1991 May-Jun;28(3):176-7.
3. 3. Taylor C, Macnab AJ. Pediatric eye injury due to Avena fatua (wild oats). Pediatr Emerg Care. 2001 Oct;17(5):358-60.
4. 4. Ogasawara M, Goto S, Shiba T, Ohno K, Shibata T, Kouzaki K, et al. A case of button battery-induced corneal and conjunctive burn injury and experimental findings of local damage. Nippon Ganka Gakkai Zasshi. 2011 Aug;115(8):711-7. 5. Khan Y, Maqsood S, Marpuri S, Bhermi S, Geh V. Rapid onset of severe ocular injury after exposure to a button battery. J AAPOS. 2014 Dec;18(6):600-1.
5. 6. Cernea P. Ocular lesions produced by caterpillars. Oftalmologia. 1994 Jan-Mar;38(1):52-7.
6. 7. Arocker-Mettinger E, Haddad R, Grabner G. Conjunctival granuloma caused by synthetic fibers. Klin Monbl Augenheilkd. 1986 Dec;189(6):479-81.
7. 8. Timmers M, Snoek KG, Gregori D, Felix JF, van Dijk M, van As SA. Foreign bodies in a pediatric emergency department in South Africa. Pediatr Emerg Care. 2012 Dec;28(12):1348-52.
8. 9. Elghazi T, Eljai A, Elkaddoumi M, Lazrek O, Saoudi SH, Belkbir T, et al. Conjunctival granuloma following neglected thorn injury: about a case. Pan Afr Med J. 2016 Sep 16;25:8.

9. 10. Sakata C, Hiraoka T, Oshika T. Unusually large plastic toy as a persisting conjunctival foreign body. Jpn J Ophthalmol. 2007 May-Jun;51(3):232-4.
10. 11. Lee YC, Chiu CJ. Ocular leech infestation. Clin Ophthalmol. 2015 Feb 27;9:419-21.
11. 12. Ferry AP. Synthetic fiber granuloma. 'Teddy bear' granuloma of the conjunctiva. Arch Ophthalmol. 1994 Oct;112(10):1339-41.
12. 13. Jinagal J, Gupta PC, Jain N, Negi A, Angrup A, Ram J. Conjunctival vegetative foreign body in a child mimicking shield ulcer. Indian J Ophthalmol. 2018 Jul;66(7):991-992.
13. 14. El Kaddoumi M, Cherkaoui O. [Metal accessories for children: when jewelry becomes a real risk of eye loss]. Pan Afr Med J. 2019 Jul 26;33:255.
14. 15. Purtskhvanidze K, Saeger M, Treumer F, Nölle B, Roider J. Open globe and penetrating eyelid injuries from fish hooks. BMC Ophthalmol. 2019 Jan 21;19(1):26.
15. 16. Subramaniam S, Pudpud AA, Rutman MS. Fishhook injury to the eyelid: case report and review of removal methods. Pediatr Emerg Care. 2015 Mar;31(3):209-13. 17. Ratnarajan G, Calladine D, Bird KJ, Watson SL. Delayed presentation of severe ocular injury from a button battery. BMJ Case Rep. 2013 May 2;2013.
16. 18. Sen E, Elgin U, Koç F, Oztürk F. A 1.5 cm-long unknown subconjunctival grass inflorescence misdiagnosed as relapsing conjunctivitis for one year. Turk J Pediatr. 2011 Nov-Dec;53(6):699-701.
17. 19. Betharia SM, Kalra BR. Unusually large conjunctival foreign body (a bean seed). Indian J Ophthalmol. 1985 Jan-Feb;33(1):69-70.
18. 20. Sakata C, Hiraoka T, Oshika T. Unusually large plastic toy as a persisting conjunctival foreign body. Jpn J Ophthalmol. 2007 May-Jun;51(3):232-4.
19. 21. Gupta PK, Thajjuddin BA, Al Sikri NE, Bangroo AK. Penetrating intracranial injury due to crochet needle. Pediatr Neurosurg. 2008;44(6):493-5.
20. 22. Thompson CG, Kumar N, Billson FA, Martin F. The aetiology of perforating ocular injuries in children. Br J Ophthalmol. 2002 Aug;86(8):920-2.
21. 23. Arıcı C, Arslan OŞ, Görgülü B, Yıldırım R, Onur U. Eye Injuries from Pencil Lead: Three Cases. Turk J Ophthalmol. 2017 Jan;47(1):52-55.
22. 24. Guy JR, Rao NA. Graphite foreign body of the conjunctiva simulating melanoma. Cornea. 1985-1986;4(4):263-5.
23. 25. Amritanand A, John SS, Philip SS, John D, David S. Unusual case of a graphite foreign body in the anterior chamber. Clin Pract. 2011 Oct 20;1(3):e73.
24. 26. Hamanaka N, Ikeda T, Inokuchi N, Shirai S, Uchihori Y. A case of an intraocular foreign body due to graphite pencil lead complicated by endophthalmitis. Ophthalmic Surg Lasers. 1999 Mar;30(3):229-31.
25. 27. Chakraborti C, Mukhopadhya U, Mazumder DB, Tripathi P, Samanta SK. Penetrating ocular fish hook injury: a case report. Nepal J Ophthalmol. 2015 Jul;7(14):198-201.
26. 28. Iannetti L, Tortorella P. Penetrating fish-hook ocular injury: management of an unusual intraocular foreign body. Case Rep Med. 2014;2014:901285.
27. 29. Habibi S, Agrawal S, Kadel JK, Narsimulu G. Post-traumatic capillary hemangiomas: a rare cause of hand nodules. Clin Rheumatol. 2009 Jun;28 Suppl 1:S51-2.