Dr.AJOY KUMAR SAHA

Dr.Chandana Chakraborti, Dr. NABANITA BARUA

Abstract

Surma is traditionally applied to conjunctival surface and the eyelids . It can cause blepharitis, allergic conjunctivitis, iritis and dermatitis. We report a rare case of “surma” induced conjunctival & partial thickness scleral necrosis. A 60 years old female presented with burning sensation in right eye after applying surma. There was periorbital swelling, chemosis, blackish pigmentation of lower fornix and tarsal conjunctiva. The pigmentation could not be removed with cotton pellete and irrigation. She was started with Moxifloxacin+ Dexamethasone eyedrops and topical lubricant. From 3rd day onward the pigmentation gradually started fading and the conjunctival and scleral necrosis was revealed. Patient was started on oral prednisolone . Inflammatory signs started reducing. At one month follow up the area was almost healed. The chemical test report of the applied surma detected various metals with elemental carbon.