Missed punctal foreign body: A cause for chronic ocular irri
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Case 1
A 48-year-old male, financial advisor by occupation, presented with swelling of eyelids, redness, foreign body (FB) sensation, and watering of the right eye for 2 weeks. He gave history of consulting two ophthalmologists but did not get relief. There was no history of any trauma or surgery. He gave a history of cooking in his kitchen the previous night of the onset of symptoms. On examination, there was preseptal cellulitis of the right upper lid with conjunctival congestion [Figure 1]. Under the slit lamp, a small FB was seen protruding out from the right upper punctum. The FB (metallic) was removed, and the patient was given topical antibiotic-steroid combination, lubricant, and systemic anti-inflammatory medications. All the symptoms subsided subsequently over a few days.

Case 2

A 35-year-old male, office clerk by occupation, presented with FB sensation, redness, and watering of the left eye for 1 week. He had consulted an ophthalmologist, but the symptoms persisted. There was no history of trauma or surgery. He gave a history of working in his garden the previous evening of the onset of symptoms. On examination, there was conjunctival congestion with a FB (metallic) in the left upper punctum. It was removed. Topical antibiotic and artificial tears were prescribed. The symptoms subsided over a few days.

https://goo.gl/WNSVpJ
Like
Comment
Share