Download PDF
Klin Monbl Augenheilkd 2013; 230(4): 390-391
DOI: 10.1055/s-0032-1328391
Der interessante Fall
Georg Thieme Verlag KG Stuttgart · New York

Unusually Long Foreign Body of the Conjunctival Fornix in a Child Overlooked by 3 Ophthalmologists

Ein von 3 Ophthalmologen übersehener ungewöhnlich langer Fremdkörper im Fornix conjunctivae bei einem Kind
H. Gerding
1   Department of Retinology, Klinik Pallas, Olten, Switzerland (Director: Prof. Dr. Heinrich Gerding)
2   Department of Ophthalmology, University of Münster, Münster, Germany (Head: Prof. Dr. Nicole Eter)
› Author Affiliations
Further Information

Publication History

Publication Date:
29 April 2013 (online)

Also available at
    Permissions and Reprints

Introduction

Ocular or orbital injuries after mechanical impact of foreign material may be challenging and difficult to diagnose especially in children [1], [2], [3]. There are a considerable number of publications available reporting on large foreign bodies of different materials retained in the conjunctival fornix for relatively long periods [4], [5], [6]. This case description reports the discovery of the longest solid foreign body ever extracted after long-term persistence in the conjunctival sac. Although of extensive size, the foreign body was previously overlooked by three experienced external ophthalmologists.

 

  • References

  • 1 Mönestam E, Björnstig U. Eye injuries in northern Sweden. Acta Ophthalmol 1991; 69: 1-5
    PubMedGoogle Scholar
  • 2 Taneri S, Wagner E, Busse H et al. Lidschwellung und Somnolenz nach Heugabelstoß ins Auge. Ophthalmologe 2001; 98: 492-493
    CrossrefPubMedGoogle Scholar
  • 3 Upshaw JE, Brenkert TE, Losek JD. Ocular foreign bodies in children. Pediatr Emerg Care 2008; 24: 409-414
    CrossrefPubMedGoogle Scholar
  • 4 Meyer D, Tangas C. Recurrent unilateral conjunctivitis: a 24-year-old occult foreign body is recovered. Clin Exp Ophthalmol 2003; 31: 455-456
    CrossrefPubMedGoogle Scholar
  • 5 Bhatt PR, Lam FC, Roberts F et al. Peripheral ulcerative keratitis due to a ‘long lost hard contact lens. Clin Experiment Ophthalmol 2007; 35: 550-552
    CrossrefPubMedGoogle Scholar
  • 6 Sakata C, Hiraoka T, Oshika T. Unusually large plastic toy as a persisting conjunctival foreign body. Jpn J Ophthalmol 2007; 51: 231-233
    CrossrefPubMedGoogle Scholar
  • 7 Edwards RS. Ophthalmic emergencies in a district general hospital casualty department. Br J Ophthalmol 1987; 71: 938-942
    CrossrefPubMedGoogle Scholar
  • 8 Weinberg JC, Eagle jr. RC, Font RL et al. Conjunctival synthetic fiber granuloma. A lesion that resembles conjunctivitis nodosa. Ophthalmology 1984; 91: 867-872
    PubMedGoogle Scholar
  • 9 Schmack I, Kang SJ, Grossniklaus HE et al. Conjunctival granulomas caused by synthetic fibers: report of two cases and review of literature. J AAPOS 2005; 9: 567-571
    PubMedGoogle Scholar
  • 10 Jürgens C, Geitz J, Tost FH. Use of high-frequency ultrasound for foreign body imaging in chronic conjunctivitis due to microtrauma. Klin Monatsbl Augenheilkd 2008; 225: 660-662
    Article in Thieme ConnectPubMedGoogle Scholar