EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Trauma
Diagnosis: traumatic subconjunctival hemorrhage

Image Comments:

This picture was produced by a foreign body that always must be considered when a foreign body has been sought and none has been found. That foreign body is a bur from a burdock plant. In this case the bur was rather easily found - it was in the lower lid. A more common experience is when the bur is buried in the superior fornix at the edge of the tarsus. Telltale vertical scratches of the superior cornea which can be produced by rubbing the lid against the cornea, should suggest to the ophthalmologist that he must keep looking until the foreign body is found. He must always have epilation forceps readily available while he keeps the lid everted once the bur has been discovered peeking from its hiding place of mucus and swollen conjunctiva.

 

 

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