Bhalerao Sushank A, Singh Prabhakar, Rani Padmaja Kumari, Rathi Varsha
Tej Kohli Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Indian J Ophthalmol. 2017 Nov;65(11):1226-1228. doi: 10.4103/ijo.IJO_533_17.
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.
眼内异物（FBs）在临床实践中经常遇到。然而，在某些情况下，仅凭病史采集和/或临床检查很难诊断出异物的存在。我们在此报告一例63岁农民的罕见结膜下异物病例，异物为蜜蜂蜇刺。在手术室的显微镜下，用镊子将其从上方穹窿结膜下间隙完整取出。该病例强调，对于主诉有异物感的患者，需要详细询问完整病史并仔细进行眼部检查，包括眼睑双重翻转，以避免遗漏任何嵌顿在穹窿和结膜下间隙的异物。
