A subconjunctival foreign body confused with uveal prolapse

• Main Authors: Young Min Park, Hye-Shin Jeon, Hak-Sun Yu, Jong-Soo Lee
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Color Doppler imaging; hypertensive retinopathy; resistive index; Conjunctival graft; primary pterygium; recurrent pterygium; Intraocular pressure; singleton pregnancy; the number of fetuses; twin pregnancy; Accommodation; agreement; amplitude of accommodation; push-up method; Intraocular lens; non-sclera flap; transscleral pars plana suture fixation; Axial length; formulas; lens; power; short eyes; Acquired esotropia; favourable outcome; stereopsis; Diabetic retinopathy; enzyme-linked immunosorbent assay; immunology; interleukin-1β; interleukin-10; proliferative; Polypoidal choroidal vasculopathy; preferential hyperacuity perimetry; spectral-domain optical coherence tomography; Microincisional vitreous surgery; retained intraocular foreign bodies; transconjunctival sutureless vitrectomy; AS-OCT; bleb morphology; trabeculectomy; Horizontal muscle surgery; inferior oblique muscle recession surgery; macular thickness; optical coherence tomography; Ganglion cell complex; retinal nerve fiber layer; type 2 diabetes; Color vision; color vision testing; FM 100-Hue; Ishihara; Bilateral; monosymptomatic optic neuritis; Mycoplasma pneumoniae; retro-bulbar optic neuritis; Cavernous sinus involvement; chasmal involvement; optic atrophy; optic nerve sheath meningioma; Dicotyledones; pterygium surgery; subconjunctival foreign body; uveal prolase
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=6;spage=730;epage=731;aulast=Park
• ISSN: 0301-4738; 1998-3689

There are cases in which the presence of a foreign body (FB) is difficult to diagnose based on history taking or clinical examination. We report a case of subconjunctival FB confused with uveal prolapse. A 68-year-old man, who had the history of pterygium excision in his right eye, complained of irritation and congestion in that same eye. He also had the history of growing vegetables in a plastic greenhouse. It seemed to be a suspected uveal mass bulging through a focal scleral thinning site. On the basis of slit-lamp magnification, the lesion was presumed to be a hard and black keratinized mass embedded under the conjunctiva. Histopathologically, the removed mass was revealed to be a seed of the dicotyledones. Patients who show signs of prolapsed uvea or scleral thinning, possibility of a subconjunctival FB should be considered as differential diagnosis. In addition, a removed unknown FB should be examined histopathologically.