Conjunctival proliferation after a mild pepper spray injury in a young child.

Abstract:

PURPOSE:To report a case of conjunctival proliferation in a 2.5-year-old boy after initial evidence of a mild chemical injury after ocular exposure to pepper spray (oleoresin capsicum). METHODS:Case report with ophthalmologic and histologic findings. RESULTS:A child presented with mild conjunctival injection and chemosis without any corneal erosion after direct exposure to pepper spray. Three weeks later, a significant conjunctival proliferation was found at the limbus, which was refractory to treatment with topical corticosteroids. Finally, proliferative tissue was surgically excised without clinical recurrence during 2 months of follow-up. CONCLUSIONS:We hypothesize that the young age of the patient may have been an important factor for the severe conjunctival proliferation in comparison to a mainly uncomplicated course of pepper spray injuries in most adults. We recommend the use of topical antiinflammatory treatment even in apparently mild pepper spray injuries, especially in young children.

journal_name

Cornea

journal_title

Cornea

authors

Gerber S,Frueh BE,Tappeiner C

doi

10.1097/ICO.0b013e318206cad9

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

1042-4

issue

9

eissn

0277-3740

issn

1536-4798

journal_volume

30

pub_type

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