血尿的不寻常原因:隐形眼镜残留在上穹窿。

Obaidur Rehman, Shreya Keshari, Sima Das
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引用次数: 0

摘要

一名 64 岁的男性因主诉左眼流泪带血和有不明原因的血性分泌物而被转诊。患者长期佩戴绷带式隐形眼镜(BCL)。他近期没有外伤史。左眼角膜上有一个带血的绷带隐形眼镜,已被摘除。眼球表面干燥,角膜上有血管。用德玛尔牵开器将上眼睑翻转两下,发现穹窿结膜上有一个带有大乳头的化脓性肉芽肿,穹窿中还隐藏着一个折叠的 BCL。我们小心翼翼地从 "上穹窿陷阱 "中取出了折叠的 BCL,并局部使用了类固醇眼药水。
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An unusual cause of hemolacria: retained contact lens in upper fornix.

A 64-year-old male was referred for complaints of blood in tears and bloody discharge of unknown cause in the left eye. The patient was a chronic bandage contact lens (BCL) user. He had no history of recent trauma. A blood-stained BCL was present on the cornea in the left eye, which was removed. The ocular surface was dry with vascularization of the cornea. Double eversion of the upper eyelid with a Desmarre's retractor revealed a pyogenic granuloma with large papillae on the forniceal conjunctiva and a folded BCL hidden in the fornix. The folded BCL was carefully removed from the "upper fornix trap" and topical steroid eyedrops were prescribed.

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