Child with hypopyon

Case description

A 9-month-old baby boy presented to our ocular emergency with a complaint of subconjunctival haemorrhage and a small whitish collection along the lower part of the left cornea. Careful history revealed that while mother was stitching a cloth, the child accidentally fell on the needle which she was using; the duration of injury was 6 hours. Examination revealed a lower and temporal subconjunctival haemorrhage and a grossly clear cornea; anterior chamber examination under the slit lamp showed a faintly visible self-sealed lamellar corneal laceration just above the hypopyon. Anterior chamber reaction showed 4+ cells along with an inferior hypopyon of 0.5 mm (figure 1A). The pupil was reactive and lens was clear, the fundal glow was mildly obscured and the baby was able to fix at the light source. B-scan ultrasound over the closed eyelids for posterior segment revealed few mild-to-moderate amplitude dot-like spikes in the anterior vitreous cavity without any retinal detachment...

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