ESCRS - POCOR097 - Custard Apple Seed Epithiliopathy

Custard Apple Seed Epithiliopathy

Published 2026 - 44th Congress of the ESCRS

Reference: POCOR097 | Type: Case Report | DOI: 10.82333/zkn4-zj17

Authors: Dr Nishanth Madhivanan* 1 , Dr Shruti Nishanth 2 , Dr Tushar Grover 3

1Cornea and refractive,MN Eye Hospital,Chennai,India, 2Paediatric Ophthalmologist,MN Eye Hospital,Chennai,India, 3Cornea and refractive,Vision eye center,Delhi,India

Purpose

To showcase how a native treatment of lice removal from hair with crushed custard apple seed  causing dangerous epithelial toxicity 

Setting

Teritiary eye care  hospital in Chennai, India

Report of case

This was a case of a young girl who came with bilateral total epithelial defect with no history of trauma and foreigh body injury . On further detailed questions she said she had bath with crushed custard apple seed and the eyes started to burn with vision loss

Conclusion/Take home message

Prompt treatment and identificatiion of the foreigh body from the eye and correct management with BCl and medications can save the eye