Unusual Foreign Body in the Conjunctiva

Balakrishnan, E; Abraham, John; Naimuddin, M.; Doraisamy, L. V.

doi:10.1136/bjo.47.4.250

Cited by 4 publications

(5 citation statements)

References 1 publication

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“…There are several reports on ocular FBs involving larvae or wings of insects, beans, and plants. [ 1 2 4 5 6 7 ] A variety of foreign bodies may enter the conjunctival sac as it is exposed to the atmosphere. [ 1 ] Usually, conjunctival foreign bodies are found in the subtarsal sulcus.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 2 4 5 6 7 ] A variety of foreign bodies may enter the conjunctival sac as it is exposed to the atmosphere. [ 1 ] Usually, conjunctival foreign bodies are found in the subtarsal sulcus. In this case, we could remove the sting of the honey bee (comprising the barb and poison sac) from the subconjunctival space of the superior fornix, and that too only after double eversion of upper lid under the microscope in the operation theater.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are cases in which the presence of the FB is difficult to diagnose based on mere history taking and/or clinical examination. [ 1 2 ]…”

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confidence: 99%

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The sting of a honey bee: An unusual subconjunctival foreign body

Bhalerao

Singh

Rani

et al. 2017

Indian J Ophthalmol

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Ocular foreign bodies (FBs) are often encountered in clinical practices. However, there are cases in which the presence of the FB is difficult to diagnose based on mere history taking and/or clinical examination. We herein present a case of unusual subconjunctival foreign body in the form of the sting of a honey bee in a 63-year-old farmer. This was removed from the superior forniceal subconjunctival space in toto with forceps under a microscope in the operation theater. This case emphasizes the need to elicit a complete history and a careful ocular examination with double eversion of the eyelid to avoid missing any foreign body lodged in the fornices and subconjunctival space in patients who complained of foreign body sensation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The sting of a honey bee: An unusual subconjunctival foreign body

Bhalerao

Singh

Rani

et al. 2017

Indian J Ophthalmol

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“…There are several reports on ocular FBs involving larvae or wings of insects, beans, and plants. [ 1 2 3 4 5 ] Living organisms such as a larva or an insect wing can be diagnosed easily in most cases. However, a prolonged ocular FB combined with inflammation or granulation, like scleral thinning or necrotizing scleritis after pterygium surgery, can be difficult to be diagnosed.…”

Section: Discussionmentioning

confidence: 99%

A subconjunctival foreign body confused with uveal prolapse

Park

Jeon

2014

Indian J Ophthalmol

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There are cases in which the presence of a foreign body (FB) is difficult to diagnose based on history taking or clinical examination. We report a case of subconjunctival FB confused with uveal prolapse. A 68-year-old man, who had the history of pterygium excision in his right eye, complained of irritation and congestion in that same eye. He also had the history of growing vegetables in a plastic greenhouse. It seemed to be a suspected uveal mass bulging through a focal scleral thinning site. On the basis of slit-lamp magnification, the lesion was presumed to be a hard and black keratinized mass embedded under the conjunctiva. Histopathologically, the removed mass was revealed to be a seed of the dicotyledones. Patients who show signs of prolapsed uvea or scleral thinning, possibility of a subconjunctival FB should be considered as differential diagnosis. In addition, a removed unknown FB should be examined histopathologically.

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“…Since the conjunctival sac is exposed to the atmosphere, foreign bodies of various types may enter into it. 3 The type of foreign bodies that were reported in the conjunctival sac were vast as it is the most common accident occurring in daily life. 4 …”

Section: Introductionmentioning

confidence: 99%

Glass wool tripod foreign bodies in the eye: First ever reported case series

Baile

Meghana

Pattiwar

2014

Middle East Afr J Ophthalmol

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We present three cases of unusual corneal/conjunctival foreign bodies that were not visible on standard slit lamp examination. All patients presented with complaints of foreign body sensation in the affected eyes. One patient had visited an ophthalmologist prior to presentation to our center and was diagnosed and treated for conjunctivitis. On slit lamp examination minimal congestion was seen hence, all the patients were diagnosed with conjunctivitis with corneal epithelial defects by the residents. However, because the patients complained of foreign body sensation, fluorescein staining of the affected eye was performed. On examination, the corneas had epithelial defects and linear scratch marks. We suspected a foreign body in upper palpebral conjunctiva (UPC). Examination after eyelid eversion indicated tripod-shaped glassy foreign bodies embedded deep within the UPC. We present cases of an unusual type of glassy tripod-shaped foreign body which may go undetected even on slit lamp examination. Fluorescein staining may aid in the detection of these foreign bodies.

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Unusual Foreign Body in the Conjunctiva

Cited by 4 publications

References 1 publication

The sting of a honey bee: An unusual subconjunctival foreign body

The sting of a honey bee: An unusual subconjunctival foreign body

A subconjunctival foreign body confused with uveal prolapse

Glass wool tripod foreign bodies in the eye: First ever reported case series

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