跳至主要内容

Phlyctenulosis-Like Presentation Secondary to Embedded Corneal Foreign Body

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50376#.VDs6ZlfHRK0

Case Presentation: A nine-year-old boy presented to the general ophthalmologist with a several weeks history of redness, photophobia and intermittent foreign body sensation in the right eye. A pigmented lesion with anterior chamber inflammation was noted on examination. B-scan ultrasound was performed and revealed no foreign body. The patient was diagnosed with anterior uveitis, which did not completely respond to treatment. The differential diagnosis was expanded to include peripheral ulcerative keratitis, phlyctenulosis, pigmented neoplasm, and corneal foreign body. Upon referral to a cornea specialist, an exam under anesthesia revealed a large foreign body consistent with a rock fragment in the peripheral cornea, which was subsequently removed without complication. Conclusion: This case highlights an atypical presentation of foreign body as well as a differential diagnosis of pigmented peripheral corneal lesions. Foreign bodies represent the most common cause of urgent ophthalmic evaluation. When evaluating lesions of the cornea, it is imperative to keep an extensive differential diagnosis, giving the potential for severe and rapid development of visually threatening complications.
Cite this paper
Muthappan, V. , Smedley, J. , Fenzl, C. and Moshirfar, M. (2014) Phlyctenulosis-Like Presentation Secondary to Embedded Corneal Foreign Body. Open Journal of Ophthalmology, 4, 112-116. doi: 10.4236/ojoph.2014.44018. 
 

[1] Wang, Z., Jiang, H., Kang, Y. and Chen, X. (1999) The Use of Ultrasound Biomicroscope in the Diagnosis of Anterior Segment Intraocular Foreign Bodies. Yan Ke Xue Bao, 15, 236-237.
[2] Kaushik, S., Ichhpujani, P., Ramasubramanian, A. and Pandav, S.S. (2008) Occult Intraocular Foreign Body: Ultrasound Biomicroscopy Holds the Key. International Ophthalmology, 28, 71-73.
http://dx.doi.org/10.1007/s10792-007-9110-5
[3] American Academy of Ophthalmology (2011) Pediatric Ophthalmology and Strabismus. Basic and Clinical Science Course, Section 6. American Academy of Ophthalmology, 267-272.
[4] Leung, A.K., Mireskandari, K. and Ali, A. (2011) Peripheral Ulcerative Keratitis in a Child. Journal of AAPOS, 15, 486-488.
http://dx.doi.org/10.1016/j.jaapos.2011.06.009
[5] Krachmer, J.H., Mannis, M.J. and Holland, E.J. (2011) Cornea: Fundamentals, Diagnosis and Management. 3rd Edition, Elsevier Inc., New York, 1121-1122.
[6] Gerstenblith, A. and Rabinowitz, M. (2012) Cornea: Phlyctenulosis. The Wills Eye Manuel: Office and Emergency Room Diagnosis and Treatment of Eye Disease. 6th Edition, Lippincott, Williams and Wilkins, Philadelphia, 17-19, 89-90.
[7] Zaidman, G.W. (2011) The Pediatric Corneal Infiltrate. Current Opinion in Ophthalmology, 22, 261-266.
http://dx.doi.org/10.1097/ICU.0b013e3283479ffc
[8] Upshaw, J.E., Brenkert, T.E. and Losek, J.D. (2008) Ocular Foreign Bodies in Children. Pediatric Emergency Care, 24, 409-414.
http://dx.doi.org/10.1097/PEC.0b013e318177a806              eww141013lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文