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

Baile RB, Meghana SC, Pattiwar MS - Middle East Afr J Ophthalmol (2014 Oct-Dec)

Bottom Line: On examination, the corneas had epithelial defects and linear scratch marks.Examination after eyelid eversion indicated tripod-shaped glassy foreign bodies embedded deep within the UPC.Fluorescein staining may aid in the detection of these foreign bodies.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Rajiv Gandhi Medical College, Thane, Maharashtra, India.

ABSTRACT
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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(a) Showing an epithelial defect on the cornea, (b) On eversion of the eyelid, no foreign body is seen, (c) Staining of the epithelial defect with fluorescein, (d) Foreign body under cobalt blue filter, outline of the fluorescein stain, (e) Tripod foreign body picked up with forceps, (f) Microscopic appearance of a foreign body
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Figure 2: (a) Showing an epithelial defect on the cornea, (b) On eversion of the eyelid, no foreign body is seen, (c) Staining of the epithelial defect with fluorescein, (d) Foreign body under cobalt blue filter, outline of the fluorescein stain, (e) Tripod foreign body picked up with forceps, (f) Microscopic appearance of a foreign body

Mentions: A 35-year-old male complained of foreign body sensation in left eye for 3 days aftersomething entered the eyes when he was covering an air conditioner duct with an insulating sheet. BCVA was 6/6 OD and 6/9 OS. On ophthalmic examination, the external adnexa was uremarkable, the bulbar conjunctiva was congested and there was an epithelial defect on the superonasal cornea [Figure 2a]. The palpebral conjunctiva was normal [Figure 2b]. A corneal defect was present on fluorescein staining [Figure 2c]. Upper lid eversion, indicated pooling of dye around a tripod-shaped glassy foreign body [Figure 2d and e].


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

Baile RB, Meghana SC, Pattiwar MS - Middle East Afr J Ophthalmol (2014 Oct-Dec)

(a) Showing an epithelial defect on the cornea, (b) On eversion of the eyelid, no foreign body is seen, (c) Staining of the epithelial defect with fluorescein, (d) Foreign body under cobalt blue filter, outline of the fluorescein stain, (e) Tripod foreign body picked up with forceps, (f) Microscopic appearance of a foreign body
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4219234&req=5

Figure 2: (a) Showing an epithelial defect on the cornea, (b) On eversion of the eyelid, no foreign body is seen, (c) Staining of the epithelial defect with fluorescein, (d) Foreign body under cobalt blue filter, outline of the fluorescein stain, (e) Tripod foreign body picked up with forceps, (f) Microscopic appearance of a foreign body
Mentions: A 35-year-old male complained of foreign body sensation in left eye for 3 days aftersomething entered the eyes when he was covering an air conditioner duct with an insulating sheet. BCVA was 6/6 OD and 6/9 OS. On ophthalmic examination, the external adnexa was uremarkable, the bulbar conjunctiva was congested and there was an epithelial defect on the superonasal cornea [Figure 2a]. The palpebral conjunctiva was normal [Figure 2b]. A corneal defect was present on fluorescein staining [Figure 2c]. Upper lid eversion, indicated pooling of dye around a tripod-shaped glassy foreign body [Figure 2d and e].

Bottom Line: On examination, the corneas had epithelial defects and linear scratch marks.Examination after eyelid eversion indicated tripod-shaped glassy foreign bodies embedded deep within the UPC.Fluorescein staining may aid in the detection of these foreign bodies.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Rajiv Gandhi Medical College, Thane, Maharashtra, India.

ABSTRACT
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.

Show MeSH
Related in: MedlinePlus