Patient has given consent for the publication of this case report and photography. References 1. Bodurtha Smith AJ, Holzman SB, Manesh RS, Perl TM (2017) Gonococcal conjunctivitis: A case report of an unusual mode of transmission. J Pediatr Adolesc Gynecol 30: 501-502. 2. Orillac R, Stewart B, Centifanto YM, Langford MP (1993) Viability of chlamydia trachomatis in eye cosmetics. Pediatr Infect Dis J 12: 786-787. A 42-year-old female was referred to eye casualty for suspected left orbital

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... tis with swollen eyelids, photosensitivity, pain and yellow discharge. 24 hours previously, she had played a party game wherein whipped cream was flung into her left eye; she immediately wiped the eye clean. On examination, her left eyelid was oedematous and conjunctiva was chemotic. A conjunctival swab grew Streptococcus pneumoniae sensitive to chloramphenicol -she recovered uneventfully with chloramphenicol eyedrops. Previously documented novel modes of transmission for bacterial eye infections include seminal fluid [1] for gonococcal and eye cosmetics [2] for chlamydial conjunctivitis. To our knowledge this is the first reported case of bacterial conjunctivitis resulting from the increasingly popular party game where players are 'creamed' by the spring-loaded toy arm (Figure 1 ). Learning Point -Novelty games involving physical 'pranks' can be a source of opportunistic bacterial infections, for example conjunctivitis in this case. -Detailed history taking can help clinicians formulate sensible differential diagnoses and provide the correct treatment. Acknowledgement None. Figure 1: Bacterial conjunctivitis.