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Case report
Management of penetrating injury with retained intraocular lead foreign body from a writing instrument: surgical video with implications for paediatric public health and safety
  1. Amreen Qureshi1,
  2. Simon P Kelly2,
  3. Fiona Carley3 and
  4. Assad Jalil1
  1. 1 Vitreoretinal Surgery, Manchester Royal Eye Hospital, Manchester, UK
  2. 2 Ophthalmology, Royal Bolton Hospital NHS Foundation Trust, Bolton, UK
  3. 3 Cornea and External Eye Disease, Manchester Royal Eye Hospital, Manchester, UK
  1. Correspondence to Mr Assad Jalil; Assad.jalil{at}


Penetrating ocular injuries from writing instruments that are thrown, especially by children, in the community can result in significant ocular morbidity. Often these cases present to the accident and emergency department. Accurate and prompt assessment is key in saving sight. We present a case of one such injury and how it was surgically managed.

  • paediatrics (drugs and medicines)
  • eye

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  • Contributors AQ involved in planning, conducting, design and acquisition of data; SPK: reviewing, planning and amending data; FC: acquisition data; AJ: reviewing and amending data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.