title: Keratoconjunctivitis caused by an unusual retained conjunctival foreign body: a frequently unrecognized entity.
abstract: OBJECTIVE
  The purpose of this study is to describe a case series of keratoconjunctivitis caused by a retained bindi (dot) in six children who presented to a tertiary eye care facility in Southern India.
  
  
  METHODS
  Over a period of 11 years (January 2000 and January 2012), six children (all female, ranging in age from 6 months to 3 years) were diagnosed with ocular manifestations subsequent to a retained bindi.
  
  
  RESULTS
  All patients presented with redness, photophobia, extensive lacrimation, and blepharospasm. Two patients presented with mucopurulent conjunctivitis, three patients with suppurative keratitis and one patient presented with corneal epithelial defect. After removal of the foreign body the response to topical antibiotics was good in five of six cases, whereas one patient required therapeutic keratoplasty.
  
  
  CONCLUSIONS
  Young children presenting with unilateral keratitis and conjunctivitis should alert the clinician to the possibility of a retained foreign body in the eye.
authors.affiliation: Department of Ophthalmology, Institute of Ophthalmology, Joseph Eye Hospital, Trichy, Tamil Nadu, India.
authors.forename: Catti Muniswamy
authors.initials: CM
authors.lastname: Kalavathy
authors.forename: Pragya
authors.initials: P
authors.lastname: Parmar
authors.forename: Jayaraman
authors.initials: J
authors.lastname: Kaliamurthy
authors.forename: Christadoss Arul Nelson
authors.initials: CA
authors.lastname: Jesudasan
authors.forename: Philip A
authors.initials: PA
authors.lastname: Thomas
mesh_terms: D002675:Child, Preschool; D003228:Conjunctiva / Q000293:injuries*; D003951:Diagnostic Errors; D005129:Eye Foreign Bodies / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D007637:Keratoconjunctivitis / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D012189:Retrospective Studies