School trauma during unsupervised play is common and can be blinding ⁽¹⁾. Such children are especially prone to trauma with sharp objects like pencils which are commonly available in the school premises. Unsupervised play with sharp objects should therefore be avoided. Penetrating injuries may present with lack of pain or redness or pertinent history, especially in less than 5 years age group and should not stop us from suspicion of a FB. One ff fth of patients with ocular FB may present without any symptoms ⁽²⁾. Although superficial FB on the conjunctiva or cornea may be easily seen and at times managed in the emergency room itself, supratarsal and intraocular FB may require specialized slit lamp examination and expert surgical removal. Appropriate referral should be made as early as possible for the same as delayed management increases the possibility of vision threatening complications like endophthalmitis ⁽³⁾. 

Graphite being inert does not incite inflammatory reactions ⁽⁴⁾, unless infective, explaining a relatively stable anterior chamber. The only evidence of previous inflammation in our case was a thin membrane over the pupil, which was easily removed. The eye overall appeared to be stable at presentation, notwithstanding the size of the FB or prolonged exposure to graphite. Wound apposition however was difficult, presumably due to delayed repair. Orienting the long axis of FB perpendicular to the removal site (Figure 1B) followed by bimanual extraction is easy and off ers an uncomplicated removal of large anterior chamber foreign bodies. 

Conclusions