眼表异物漏诊导致的角结膜损伤3例

Corneal and ocular surface injuries caused by occult foreign bodies

3例患者主诉分别为“右眼红、畏光伴睁眼困难5个月”“左眼磨痛、睁眼困难1周”和“左眼反复眼红、视物模糊半年余”。分别于上穹隆黏膜皱襞内发现长约2 mm蓝色丝线线头及线结、上睑中央一睑板腺出口处发现1根蜜蜂刺、6:00方位房角处发现1块玻璃样异物。异物取出后3例患者角结膜损伤逐渐恢复,随访期内未见复发。

The first patient complained of red eye,photophobia,and difficulty in eye-opening of the right eye for 5 months.The second patient complained of grinding pain and difficulty in eye-opening of the left eye for 1 week.The third patient complained of repeated red eye and blurred vision in the left eye for half a year.After detailed examination,a blue suture thread approximately 2 mm in length with a knot was found in the mucosal fold of the first patient,a bee sting was embedded in the middle of the meibomian gland duct in the upper eyelid of the second patient,a glassy foreign body was found in the chamber angle at the 6 o′clock position of the third patient.The corneal and ocular surface injury gradually healed with no recurrence after the timely removal of the occult foreign bodies.