Elghazi Taha, Eljai Amine, Elkaddoumi Maryama, Lazrek Omar, Saoudi Sofia Hassani, Belkbir Taib, Amazouzi Abdellah, Cherkaoui Lalla Ouafae, Daoudi Rajae
Université Mohammed V Souissi, Service d'Ophtalmologie A de l'Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc.
Pan Afr Med J. 2016 Sep 16;25:8. doi: 10.11604/pamj.2016.25.8.10477. eCollection 2016.
It is sometimes difficult to detect a plant intraocular foreign body, mostly in cases where the history of ocular trauma is unclear, or in patients who consult several months after the trauma. We report a rare case of a 7 year old child with self inflicted trauma of the the left eye by a cactus thorn 3 months before admission, which resulted in a temporal conjunctival granuloma with higher inflammatory reaction of the anterior segment. Surgical exploration was performed allowing the extraction of the thorn with total excision of the granuloma. A slight clinical improvement in visual acuity was observed, but the eyeball secondarily atrophied few months after extraction.
有时很难检测到眼内植物性异物，多数情况是眼外伤史不明确，或者是外伤后数月才就诊的患者。我们报告一例罕见病例，一名7岁儿童在入院前3个月左眼被仙人掌刺自伤，导致颞侧结膜肉芽肿，前段炎症反应较重。进行了手术探查，取出了刺并完整切除了肉芽肿。视力有轻微的临床改善，但取出后数月眼球继发萎缩。
