Odat Thabit Ali Mustafa, Al-Tawara Mohammad Jebreel, Hammouri Eman Hussein
Ophthalmology Clinic, Prince Rashid Bin Al- Hassan Military Hospital, Irbid, Jordan.
Dermatology Clinic, King Hussein Medical Center, Amman, Jordan.
Middle East Afr J Ophthalmol. 2014 Jan-Mar;21(1):61-5. doi: 10.4103/0974-9233.124100.
To study the ocular and extra-ocular features, clinical presentation, and treatment of prickly pear glochids.
This retrospective study included 23 eyes of 21 patients with ocular prickly pear spines who were seen between August and October 2011 in the outpatient ophthalmic clinic at Prince Rashid Bin Al Hassan military hospital in Jordan. Medical records of patients including age, gender, history of exposure to prickly pear plants, and ocular examination were reviewed. All glochids were localized and removed with forceps under topical anesthesia with the patient at the slit lamp. Patients were followed up after one week.
The mean age of patients was 37.1 years with a male to female ratio of 1.6: 1. Involvement of the right eye was seen in 61.9% patients, left eye in 28.6% patients, and bilateral involvement in 9.5% patients. Glochids were most commonly found in the upper subtarsal conjunctival space (47.6%) followed by inferior palpebral conjunctiva in 23.8% eyes. The most common complaint was eye irritation in 95.2% patients. Pain was a complaint in 57.1% patients. Superior corneal epithelial erosions or ulcer were found in 33.3% patients, inferior corneal epithelial erosions in 19.1% patients, and diffuse epithelial erosions in 9.5% patients. Glochids were found in other parts of the body in 38.1% patients.
Although prickly pear glochid ocular surface injury is not uncommon in the region during summer, it should be considered in patient with eye pain during that period. Farmers who are in close contact with prickly pears should use protective eyeglasses and gloves.
研究仙人掌毛刺的眼部和眼外特征、临床表现及治疗方法。
这项回顾性研究纳入了2011年8月至10月间在约旦拉希德·本·哈桑王子军事医院眼科门诊就诊的21例眼部仙人掌刺患者的23只眼睛。回顾了患者的病历，包括年龄、性别、接触仙人掌植物的病史以及眼部检查情况。所有毛刺均在裂隙灯下局部麻醉，用镊子定位并取出，患者术后随访一周。
患者的平均年龄为37.1岁，男女比例为1.6:1。61.9%的患者右眼受累，28.6%的患者左眼受累，9.5%的患者双眼受累。毛刺最常见于睑板上结膜间隙（47.6%），其次是下睑结膜，占23.8%的眼睛。最常见的主诉是95.2%的患者有眼部刺激感。57.1%的患者有疼痛主诉。33.3%的患者出现上角膜上皮糜烂或溃疡，19.1%的患者出现下角膜上皮糜烂，9.5%的患者出现弥漫性上皮糜烂。38.1%的患者在身体其他部位发现有毛刺。
尽管夏季该地区仙人掌毛刺导致的眼表损伤并不少见，但在此期间出现眼痛的患者应考虑到这种情况。与仙人掌密切接触的农民应使用防护眼镜和手套。
