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一种不常见的血泪原因:上穹窿内滞留的隐形眼镜。

An unusual cause of hemolacria: retained contact lens in upper fornix.

机构信息

Department of Oculoplasty and Ocular Oncology, Dr. Shroff's Charity Eye Hospital, New Delhi, India.

出版信息

Rom J Ophthalmol. 2024 Jul-Sep;68(3):318-320. doi: 10.22336/rjo.2024.57.

DOI:10.22336/rjo.2024.57
PMID:39464768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11503223/
Abstract

A 64-year-old male was referred for complaints of blood in tears and bloody discharge of unknown cause in the left eye. The patient was a chronic bandage contact lens (BCL) user. He had no history of recent trauma. A blood-stained BCL was present on the cornea in the left eye, which was removed. The ocular surface was dry with vascularization of the cornea. Double eversion of the upper eyelid with a Desmarre's retractor revealed a pyogenic granuloma with large papillae on the forniceal conjunctiva and a folded BCL hidden in the fornix. The folded BCL was carefully removed from the "upper fornix trap" and topical steroid eyedrops were prescribed.

摘要

一位 64 岁男性因左眼不明原因的血泪和血性分泌物而就诊。该患者是慢性绷带接触镜(BCL)使用者。他没有近期外伤史。左眼角膜上有血染的 BCL,已被取出。眼表面干燥,角膜血管化。使用 Desmarre's 牵开器将上眼睑双反转,发现穹窿结膜上有化脓性肉芽肿,并有大乳头,以及隐藏在穹窿内的折叠 BCL。小心地将折叠的 BCL 从“上穹窿陷窝”中取出,并开具了局部皮质类固醇眼药水。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e61e/11503223/e3cb3efc7c50/RomJOphthalmol-68-318-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e61e/11503223/01b02159e897/RomJOphthalmol-68-318-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e61e/11503223/e3cb3efc7c50/RomJOphthalmol-68-318-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e61e/11503223/01b02159e897/RomJOphthalmol-68-318-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e61e/11503223/e3cb3efc7c50/RomJOphthalmol-68-318-g002.jpg

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本文引用的文献

1
Five Retained Soft Contact Lenses in the Upper Fornix: A Case Report in a Patient with Hemifacial Atrophy.上穹窿部存留五枚软性接触镜:一例半侧面部萎缩患者的病例报告
Plast Reconstr Surg Glob Open. 2024 Jan 30;12(1):e5563. doi: 10.1097/GOX.0000000000005563. eCollection 2024 Jan.
2
Corneal ulcer as the presenting sign of prolonged contact lens retention over 25 years.角膜溃疡作为超过25年长期佩戴隐形眼镜的首发症状。
Can J Ophthalmol. 2024 Jun;59(3):e272-e274. doi: 10.1016/j.jcjo.2023.12.001. Epub 2023 Dec 25.
3
Superior fornix mass with retained soft contact lens.
上穹窿肿物伴软性隐形眼镜残留。
Indian J Ophthalmol Case Rep. 2021 Jan-Mar;1(1):34. Epub 2020 Dec 31.
4
Chronic Conjunctivitis From a Retained Contact Lens.慢性结膜炎源于隐形眼镜佩戴不当。
Eye Contact Lens. 2020 Jan;46(1):e1-e4. doi: 10.1097/ICL.0000000000000587.
5
Migration of rigid gas permeable contact lens into the upper eyelid after trauma: a case report.硬性透气性角膜接触镜外伤后移入上睑:一例报告
BMC Ophthalmol. 2016 Jun 1;16:71. doi: 10.1186/s12886-016-0249-6.
6
Retained soft contact lens masquerading as a chalazion: a case report.滞留软性隐形眼镜伪装为霰粒肿:病例报告。
Indian J Ophthalmol. 2013 Feb;61(2):80-1. doi: 10.4103/0301-4738.107202.
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An unusual eyelid lump: unsuspected embedded contact lens for up to 40 years. Two cases and literature review.一种不寻常的眼睑肿块:长达 40 年的隐形嵌入性角膜接触镜。两例病例及文献复习。
Eye (Lond). 2011 Oct;25(10):1371-3. doi: 10.1038/eye.2011.136. Epub 2011 Jul 1.
8
Bloody tears of unknown cause: case series and review of the literature.不明原因的血性泪液:病例系列及文献综述
Ophthalmic Plast Reconstr Surg. 2004 Nov;20(6):442-7. doi: 10.1097/01.iop.0000143713.01616.cf.
9
The upper fornix trap.上穹窿陷凹
Br J Ophthalmol. 1971 Nov;55(11):784-5. doi: 10.1136/bjo.55.11.784.