{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:05:29Z","timestamp":1762430729573,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 2-year-old girl presented to the emergency department at 3:00\u2009h with severe pain in her right eye and a rust coloured, blood stained frothy discharge that had woken her. An examination of her eye revealed a shiny metallic looking foreign body, which was immediately removed by the on-call ophthalmologist. That morning the patient underwent ocular examination under anaesthesia and was found to have severe tissue necrosis resulting from an electrochemical burn. She was treated with daily rodding for 3\u2005days and betamethasone ointment four times a day, which was gradually tapered. At 3\u2005months her only eye pathology was a mild symblepharon between the bulbar and tarsal conjunctiva. This is the first case of delayed symptoms after placement of a button battery into the conjunctival fornix. This case highlights the serious nature of button battery injuries to the eye and the potential to miss the diagnosis owing to a delayed onset of symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2013-009094","type":"journal-article","created":{"date-parts":[[2013,5,3]],"date-time":"2013-05-03T03:52:45Z","timestamp":1367553165000},"page":"bcr2013009094","source":"Crossref","is-referenced-by-count":6,"title":["Delayed presentation of severe ocular injury from a button battery"],"prefix":"10.1136","volume":"2013","author":[{"given":"G","family":"Ratnarajan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Royal Berkshire NHS Foundation Trust, Reading, Berkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Calladine","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Royal Berkshire NHS Foundation Trust, Reading, Berkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K J","family":"Bird","sequence":"additional","affiliation":[{"name":"Department of Anaesthetics, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S L","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Royal Berkshire NHS Foundation Trust, Reading, Berkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,2]]},"reference":[{"key":"2025082802393126000_2013.may02_1.bcr2013009094.1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1111\/j.1460-9592.1992.tb00209.x","article-title":"Button battery ingestion and its sequelae, implications for the anaesthetist: a case report and review","volume":"2013","author":"Westbrook","year":"1992","journal-title":"Paediatr Anaesth"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.2","unstructured":"Mattingly D Crews LK Florentino-Pineda I . Intranasal septal perforation in a 4\u2005year old by an impacted button battery: a case report and review of the literature. http:\/\/gkr-mcg.library.gatech.edu\/bitstream\/handle\/10675.2\/951\/Mattingly_SPA2010_SC.pdf?sequence=1 (accessed 20 Apr 2013)."},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.3","doi-asserted-by":"crossref","first-page":"1470","DOI":"10.1001\/jama.1986.03370110092028","article-title":"Minature battery foreign bodies in auditory and nasal cavities","volume":"2013","author":"Kavanagh","year":"1986","journal-title":"J Am Med Assoc"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.4","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1017\/S0022215100130476","article-title":"Button batteries, letter to the editor","volume":"2013","author":"Eynon-Lewis","year":"1995","journal-title":"J Laryngol Otol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.5","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1017\/S0022215100091684","article-title":"An unusual foreign body in the nose","volume":"2013","author":"Babu","year":"1981","journal-title":"J Laryngol Otol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.6","doi-asserted-by":"crossref","first-page":"2495","DOI":"10.1001\/jama.1983.03330420041031","article-title":"Button battery ingestions: a review of 56 cases","volume":"2013","author":"Litovitz","year":"1983","journal-title":"JAMA"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.7","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1542\/peds.2009-3037","article-title":"Emerging battery ingestion hazard: clinical implications","volume":"2013","author":"Litovitz","year":"2010","journal-title":"Pediatrics"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.8","first-page":"98","article-title":"Button battery as a foreign body in nasal cavities. Special aspects","volume":"2013","author":"Gomes","year":"1994","journal-title":"Rhinology"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.9","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1001\/archotol.1986.03780050086016","article-title":"Alkaline battery foreign bodies of the ear and nose","volume":"2013","author":"Capo","year":"1986","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.10","first-page":"317","article-title":"Button batteries in the ear, nose, and cervical esophagus: a destructive foreign body","volume":"2013","author":"McRae","year":"1989","journal-title":"J Otolaryngol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.11","unstructured":"National Capital Poison Center. Nonfatal Button Battery Ingestions with Severe Esophageal or Airway Injury: 125 Cases. http:\/\/www.poison.org\/battery\/severecases.asp (accessed 20 Apr 2013)."},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.12","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1136\/bjo.66.2.141","article-title":"Eye injuries from car battery explosions","volume":"2013","author":"Moore","year":"1982","journal-title":"Br J Ophthalmol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.13","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1001\/archopht.1978.03910050253012","article-title":"Eye injuries from exploding car batteries","volume":"2013","author":"Minatoya","year":"1978","journal-title":"Arch Ophthalmol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.14","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1016\/0002-9394(79)90711-6","article-title":"Corneal burns from watch battery explosion","volume":"2013","author":"Zieker","year":"1979","journal-title":"Am J Ophthalmol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.15","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/000348948409300416","article-title":"Esophageal burns secondary to disc battery ingestion","volume":"2013","author":"Maves","year":"1984","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.16","doi-asserted-by":"crossref","first-page":"2039","DOI":"10.1097\/00003246-199712000-00022","article-title":"Experimental investigation of battery-induced esophageal burn injury in rabbits","volume":"2013","author":"Yoshikawa","year":"1997","journal-title":"Crit Care Med"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.17","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/S0196-0644(86)80672-2","article-title":"Hazardous effects due to alkaline button battery ingestion: an experimental study","volume":"2013","author":"Yasui","year":"1986","journal-title":"Ann Emerg Med"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.18","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/0735-6757(85)90111-1","article-title":"Esophageal burns from battery ingestion","volume":"2013","author":"Langkau","year":"1985","journal-title":"Am J Emerg Med"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.19","first-page":"711","article-title":"A case of button battery-induced corneal and conjunctive burn injury and experimental findings of local damage","volume":"2013","author":"Ogasawara","year":"2011","journal-title":"Nippon Ganka Gakkai zasshi"},{"key":"2025082802393126000_2013.may02_1.bcr2013009094.20","doi-asserted-by":"crossref","first-page":"e187","DOI":"10.1016\/j.jemermed.2012.02.050","article-title":"Severe ocular injury after button battery exposure","volume":"2013","author":"Mazer-Amirshahi","year":"2013","journal-title":"J Emerg Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:39:39Z","timestamp":1756373979000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,2]]},"references-count":20,"alternative-id":["10.1136\/bcr-2013-009094"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009094","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,5,2]]}}}