{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T01:36:59Z","timestamp":1765849019246,"version":"3.48.0"},"reference-count":23,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,12]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>A man in his 60s presented to a Tertiary Referral Teaching Hospital with sudden, spontaneous onset of left eye pain. Slit lamp examination with fluorescein demonstrated multiple vertical linear staining corneal abrasions. The patient was initially suspected of having an upper lid tarsoconjunctival foreign body (FB). Eventually, the expected FB was located not on the tarsoconjunctiva, but on the lower lid margin. It was suspected of being an insect stinger as there was no corroborating history of ocular trauma by metal, such as due to grinding or drilling. The FB was removed via slit lamp examination, and was submitted to electron microscopy and mass spectroscopy.<\/jats:p>","DOI":"10.1136\/bcr-2024-263499","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T01:35:16Z","timestamp":1765848916000},"page":"e263499","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Electron microscopy and mass spectroscopy used to identify the morphology and metallic nature of a lower lid margin foreign body"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5851-8502","authenticated-orcid":false,"given":"Elizabeth","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Royal North Shore Hospital, St Leonards, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunding","family":"Li","sequence":"additional","affiliation":[{"name":"Northern Beaches Hospital, Frenchs Forest, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Kaushik","sequence":"additional","affiliation":[{"name":"University of New South Wales, Kensington, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian C","family":"Francis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia"},{"name":"Department of Ophthalmology, Prince of Wales Hospital, Randwick, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"2025121517350958000_18.12.e263499.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.73.11.888"},{"key":"2025121517350958000_18.12.e263499.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7430.36"},{"key":"2025121517350958000_18.12.e263499.3","doi-asserted-by":"crossref","unstructured":"Pandey AN . Ocular Foreign Bodies: A Review. J Clin Exp Ophthalmol 2017;08. doi:10.4172\/2155-9570.1000645","DOI":"10.4172\/2155-9570.1000645"},{"key":"2025121517350958000_18.12.e263499.4","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.4103\/ijo.IJO_533_17","article-title":"The sting of a honey bee: An unusual subconjunctival foreign body","volume":"65","author":"Bhalerao","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"2025121517350958000_18.12.e263499.5","unstructured":"Corneal foreign body. Treasure Island (FL), 2022. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK536977\/"},{"key":"2025121517350958000_18.12.e263499.6","first-page":"495","article-title":"Ocular surface foreign bodies and their association with profession","volume":"12","author":"Bahoo","year":"2018","journal-title":"Pak J Med Health Sci"},{"key":"2025121517350958000_18.12.e263499.7","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.jtos.2018.03.001","article-title":"Effects of environment pollution on the ocular surface","volume":"16","author":"Jung","year":"2018","journal-title":"Ocul Surf"},{"key":"2025121517350958000_18.12.e263499.8","unstructured":"Cardarelli F . Materials handbook: a concise desktop reference. 2nd edn. London: Springer, 2008."},{"key":"2025121517350958000_18.12.e263499.9","doi-asserted-by":"crossref","first-page":"5788","DOI":"10.1016\/j.atmosenv.2007.01.064","article-title":"Study of aluminium distribution and speciation in atmospheric particles of different diameters in Nanjing, China","volume":"41","author":"Wang","year":"2007","journal-title":"Atmos Environ"},{"key":"2025121517350958000_18.12.e263499.10","doi-asserted-by":"publisher","DOI":"10.1016\/S1352-2310(02)00347-3"},{"key":"2025121517350958000_18.12.e263499.11","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1016\/S1352-2310(02)00178-4","article-title":"Preliminary study of airborne particulate matter in a Beijing sampling station by instrumental neutron activation analysis","volume":"36","author":"Cao","year":"2002","journal-title":"Atmos Environ"},{"key":"2025121517350958000_18.12.e263499.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.atmosenv.2004.10.027"},{"key":"2025121517350958000_18.12.e263499.13","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.atmosenv.2005.09.055","article-title":"Vertical distributions of particles and sulfur gases (volatile sulfur compounds and SO2) over East Asia: Comparison with two aircraft-borne measurements under the Asian continental outflow in spring and winter","volume":"40","author":"Inomata","year":"2006","journal-title":"Atmos Environ"},{"key":"2025121517350958000_18.12.e263499.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.atmosenv.2004.07.009"},{"key":"2025121517350958000_18.12.e263499.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2004.10.012"},{"key":"2025121517350958000_18.12.e263499.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxlet.2010.09.001"},{"key":"2025121517350958000_18.12.e263499.17","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.envres.2011.11.010","article-title":"Ambient levels of air pollution induce clinical worsening of blepharitis","volume":"112","author":"Malerbi","year":"2012","journal-title":"Environ Res"},{"key":"2025121517350958000_18.12.e263499.18","doi-asserted-by":"publisher","DOI":"10.1016\/S1542-0124(12)70111-8"},{"key":"2025121517350958000_18.12.e263499.19","unstructured":"Aluminium, Dusts containing aluminium as metal, aluminium oxide and aluminium hydroxide [MAK Value Documentation, 2007. The MAK\u2010Collection for Occupational Health and Safety. 1\u201393."},{"key":"2025121517350958000_18.12.e263499.20","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1007\/s00420-007-0175-2","article-title":"Respiratory and ocular symptoms in workers exposed to potassium aluminium-tetrafluoride soldering flux","volume":"80","author":"Larsson","year":"2007","journal-title":"Int Arch Occup Environ Health"},{"key":"2025121517350958000_18.12.e263499.21","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1097\/ICO.0000000000001171","article-title":"Comparing the Effects of Particulate Matter on the Ocular Surfaces of Normal Eyes and a Dry Eye Rat Model","volume":"36","author":"Han","year":"2017","journal-title":"Cornea"},{"key":"2025121517350958000_18.12.e263499.22","unstructured":"Aluminum . Periodic table. Royal Society of Chemistry; 2023. Available: https:\/\/www.rsc.org\/periodic-table\/element\/13\/aluminum"},{"key":"2025121517350958000_18.12.e263499.23","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.jtos.2020.05.011","article-title":"The eye as the discrete but defensible portal of coronavirus infection","volume":"19","author":"Coroneo","year":"2021","journal-title":"Ocul Surf"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263499","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T01:35:23Z","timestamp":1765848923000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263499"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":23,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12,15]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/bcr-2024-263499"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263499","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}