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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2014  |  Volume : 21  |  Issue : 4  |  Page : 363-365

Glass wool tripod foreign bodies in the eye: First ever reported case series


Department of Ophthalmology, Rajiv Gandhi Medical College, Thane, Maharashtra, India

Correspondence Address:
Rahul B Baile
Assistant Professor, 201, Bhoomi Apt, Plot no 25/25A, Sector 5, New Panvel, Navi Mumbai 410 206, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.142283

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We present three cases of unusual corneal/conjunctival foreign bodies that were not visible on standard slit lamp examination. All patients presented with complaints of foreign body sensation in the affected eyes. One patient had visited an ophthalmologist prior to presentation to our center and was diagnosed and treated for conjunctivitis. On slit lamp examination minimal congestion was seen hence, all the patients were diagnosed with conjunctivitis with corneal epithelial defects by the residents. However, because the patients complained of foreign body sensation, fluorescein staining of the affected eye was performed. On examination, the corneas had epithelial defects and linear scratch marks. We suspected a foreign body in upper palpebral conjunctiva (UPC). Examination after eyelid eversion indicated tripod-shaped glassy foreign bodies embedded deep within the UPC. We present cases of an unusual type of glassy tripod-shaped foreign body which may go undetected even on slit lamp examination. Fluorescein staining may aid in the detection of these foreign bodies.


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