One year old infant undergoes successful surgery of Corneal ulcer at Sankara Eye Hospital

Thorough Eye Exams Urged for Young Children after Case of Hidden Foreign Body Leads to Corneal Ulcer

ANAND, July 19, 2024: A recent case study highlights the critical importance of thorough eye examinations in young children experiencing eye trauma symptoms. The case involved one-year-old infant Sheela (Name Changed) who developed a corneal ulcer, a potentially vision-threatening condition, in her right eye.

Baby Sheela was brought into the hospital with a history of persistent redness and watering in her right eye for six days, following an incident where she played with vegetative matter. Despite initial treatment which the parents got it done outside with topical medications, her symptoms persisted. Due to her young age, a detailed eye exam using specialized equipment was not possible. Being a one year infant, it was difficult for the child to communicate the trauma it was going through. However, a basic examination at Sankara Eye Hospital, Anand, Gujarat revealed concerning signs, including eyelid swelling, bloodshot eyes, and an ulcer on the cornea.

The doctor everted the child’s eyelid, a technique that exposes the inner surface. This revealed two wooden foreign objects, one a significant 2 centimeters long. Examination confirmed a fungal infection in the cornea. These were promptly removed.

Speaking on the issue, Dr. Nisha Ahuja, Chief Medical Officer and Consultant, Cornea, Cataract, and Refractive Surgery, Sankara Eye Hospital, Anand said “Corneal ulcers are a serious concern, contributing to a significant percentage of corneal blindness cases, particularly among young children. This case highlights the importance of not overlooking the possibility of hidden foreign objects, even in situations where the cause might seem unclear. Early detection and removal of foreign bodies are essential to prevent complications like fungal infections and ensure successful treatment. This case serves as a stark reminder for healthcare providers to be meticulous in their examinations, especially when dealing with preverbal children who cannot verbally communicate their discomfort. A comprehensive eye exam, including lid eversion, should be a standard procedure in all cases of eye trauma in young children. By prioritizing early diagnosis and appropriate management, we can significantly improve the chances of preserving a child’s vision.

“Dr Lakshita Maherda, a fellow doctor at Sankara Eye Hospital, echoes Dr. Ahuja’s concerns. ‘Early detection of eye problems in children is critical. Unfortunately, young children often can’t communicate their discomfort effectively. This case highlights the importance of thorough examinations, including lid eversion, for any child experiencing eye trauma symptoms. Parents should be vigilant and seek immediate medical attention if their child shows signs of redness, watering, or any other unusual eye discomfort, especially following a suspected eye injury. Prompt medical attention is required to avoid loss of vision. Treatment includes medication such as antibiotics. In rare cases, antifungal drugs may be used ” she concludes.