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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 7  |  Page : 1178

Corneal graphite deposit on anterior segment optical coherence tomography


1 Ophthalmic Plastic Surgery and Ocular Oncology Services, The Operation Eyesight Universal Institute for Eye Cancer, Vijayawada, Andhra Pradesh, India
2 Cornea and Refractive Surgery Services, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India

Date of Web Publication25-Jun-2019

Correspondence Address:
Dr. Anasua Ganguly Kapoor
The Operation Eyesight Universal Institute for Eye Cancer, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh - 521 137
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1915_18

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How to cite this article:
Vijitha V S, Kapoor AG, Mohammed M, Roy A. Corneal graphite deposit on anterior segment optical coherence tomography. Indian J Ophthalmol 2019;67:1178

How to cite this URL:
Vijitha V S, Kapoor AG, Mohammed M, Roy A. Corneal graphite deposit on anterior segment optical coherence tomography. Indian J Ophthalmol [serial online] 2019 [cited 2019 Oct 16];67:1178. Available from: http://www.ijo.in/text.asp?2019/67/7/1178/261030



Retained intraocular graphite foreign bodies are uncommon and generally remain inert in the eye. A 16-year-old girl complained of a black spot on her right eye since 3 months following pencil tip trauma. Examination revealed a subconjunctival greyish-black nodular mass with a metallic sheen on the 5 O' clock limbus with involvement of the adjacent corneal stroma and endothelium [Figure 1]a. Optical coherence tomography revealed subconjunctival [[Figure 1]b arrow], corneal stromal, and endothelial [[Figure 1]b arrowhead] hyporeflective material with intense backshadowing. This visual impression will help differentiate pigmented conjunctivo--corneal lesion from other reported mimickers such as melanoma and herpetic keratitis.[1],[2],[3],[4],[5]
Figure 1: (a) Limbal graphite deposit with metallic sheen, with involvement of the adjacent corneal stroma and endothelium. (b) Optical coherence tomography showing subconjunctival (arrow), corneal stromal, and endothelial (arrowhead) hyporeflective material with intense backshadowing, with sharp distinction from the adjacent uninvolved cornea and sclera

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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.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Guy JR, Rao NA. Graphite foreign body of conjunctiva simulating melanoma. Cornea 1985;4:263-5.  Back to cited text no. 1
    
2.
Philip SS, John D, John SS. Asymptomatic intracorneal graphite deposits following graphite pencil injury. Case Rep Ophthalmol Med 2012;2012:720201.  Back to cited text no. 2
    
3.
Gül A, Can E, Yücel OE, Niyaz L, Akgün Hİ, Arıtürk N. Suspected endothelial pencil graphite deposition. Case Rep Ophthalmol Med 2013;2013:369374.  Back to cited text no. 3
    
4.
Nanji AA, Sayyad FE, Galor A, Dubovy S, Karp CL. High- resolution optical coherence tomography as an adjunctive tool in the diagnosis of corneal and conjunctival pathology. Ocul Surf 2015;13:226-35.  Back to cited text no. 4
    
5.
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;30:229-31.  Back to cited text no. 5
    


    Figures

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