J Korean Ophthalmol Soc > Volume 60(5); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(5):496-500.
DOI: https://doi.org/10.3341/jkos.2019.60.5.496    Published online May 15, 2019.
A Removed Chestnut Thorn after Corneal Incision.
Su Youn Suh, Sung Il Kim, Ji Eun Lee
Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. jiel@hanmail.net
밤 가시에 의한 각막이물환자에서 각막절개를 통한 이물제거
서수연⋅김성일⋅이지은
부산대학교 의학전문대학원 양산부산대학교병원 안과학교실
Correspondence:  Ji Eun Lee,
Email: jiel@hanmail.net
Received: 13 December 2018   • Revised: 2 January 2019   • Accepted: 18 April 2019
Abstract
PURPOSE
To report the surgical technique to remove a chestnut thorn through a corneal incision. CASE SUMMARY: A 54-year-old female visited our clinic complaining of a sudden foreign body sensation and conjunctival injection in her left eye after picking chestnuts 4 days prior to her visit. Visual acuity of both eyes was 1.0 and the intraocular pressures were within normal limits. Slit lamp examination revealed that a chestnut thorn had deeply penetrated the left corneal stroma and a small number of inflammatory cells were observed in the anterior chamber. There was no corneal defect stained with fluorescein and the Seidel test was negative. A corneal foreign body comprised of a chestnut thorn and its remnants was diagnosed and emergency surgery was performed. A partial corneal incision was made along the foreign body and the exposed foreign body was easily and completely removed. The patient was treated with topical antibiotics after surgery and no complication was observed during a follow-up period of 3 months. CONCLUSIONS: In the case of a corneal foreign body comprised of a chestnut thorn, the foreign body with its remnants were easily removed by performing a partial corneal incision.
Key Words: Corneal trauma;Eye foreign body;Thorn


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