Sen Emine, Elgin Ufuk, Koç Fatih, Oztürk Faruk
Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.
Turk J Pediatr. 2011 Nov-Dec;53(6):699-701.
Foreign bodies are usually detected at the first visit. However, they may be overlooked sometimes, especially in children, and may cause some clinical conditions including unilateral relapsing conjunctivitis. A five-year-old girl was presented to the emergency clinic of our hospital with epiphora, purulent discharge, eyelid swelling, and a foreign body feeling in her right eye. The symptoms had been present for one year, and the patient was treated for relapsing conjunctivitis. In slit lamp examination performed with difficulty because of the patient's lack of cooperation, a localized edema and erythema were observed under the right eyelid. An exploration under general anesthesia was planned, and a 1.5 cm-long subconjunctival grass inflorescence was removed. An unknown subconjunctival foreign body should be considered in each patient with relapsing conjunctivitis, especially in children, even in the absence of ocular trauma.
异物通常在首次就诊时被发现。然而，它们有时可能被忽视，尤其是在儿童中，并且可能导致一些临床情况，包括单侧复发性结膜炎。一名五岁女孩因右眼溢泪、脓性分泌物、眼睑肿胀和异物感被送到我院急诊室。这些症状已经出现一年了，该患者曾因复发性结膜炎接受治疗。由于患者不配合，裂隙灯检查难以进行，在右眼眼睑下观察到局部水肿和红斑。计划在全身麻醉下进行探查，取出了一根1.5厘米长的结膜下草花序。对于每一位复发性结膜炎患者，尤其是儿童，即使没有眼部外伤，也应考虑存在不明结膜下异物的可能性。
