Suspected Endothelial Pencil Graphite Deposition

Abstract EN

A 14-year-old male patient had an ocular trauma with a pencil.

Biomicroscopic examination revealed a broken part of pencil into the cornea.

Foreign body removal and corneal wound closure were performed in the same day.

After corneal repair, there was a grade 4+ anterior chamber reaction just like in preoperative examination.

Dilated examination showed a very small piece broken tip of pencil on the upper nasal quadrant of the lens.

A small and linear deposition was also seen on endothelial surface.

Endothelial deposition and foreign body disappeared with intensive topical steroid treatment.