Conjunctival granuloma following neglected thorn injury: about a case

It is sometimes difficult to detect a plant intraocular foreign body, mostly in cases where the history of ocular trauma is unclear, or in patients who consult several months after the trauma. We report a rare case of a 7 year old child with self inflicted trauma of the the left eye by a cactus thor...

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Bibliographic Details
Published in:The Pan African medical journal 2016, Vol.25, p.8-8
Main Authors: Elghazi, Taha, Eljai, Amine, Elkaddoumi, Maryama, Lazrek, Omar, Saoudi, Sofia Hassani, Belkbir, Taib, Amazouzi, Abdellah, Cherkaoui, Lalla Ouafae, Daoudi, Rajae
Format: Article
Language:fre
Subjects:
Cactaceae
Child
Conjunctival Diseases - diagnosis
Conjunctival Diseases - etiology
Conjunctival Diseases - pathology
Eye Foreign Bodies - complications
Eye Foreign Bodies - diagnosis
Eye Foreign Bodies - pathology
Eye Injuries, Penetrating - complications
Eye Injuries, Penetrating - diagnosis
Eye Injuries, Penetrating - pathology
Granuloma - diagnosis
Granuloma - etiology
Granuloma - pathology
Humans
Male
Visual Acuity
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Summary:It is sometimes difficult to detect a plant intraocular foreign body, mostly in cases where the history of ocular trauma is unclear, or in patients who consult several months after the trauma. We report a rare case of a 7 year old child with self inflicted trauma of the the left eye by a cactus thorn 3 months before admission, which resulted in a temporal conjunctival granuloma with higher inflammatory reaction of the anterior segment. Surgical exploration was performed allowing the extraction of the thorn with total excision of the granuloma. A slight clinical improvement in visual acuity was observed, but the eyeball secondarily atrophied few months after extraction.
ISSN:1937-8688
DOI:10.11604/pamj.2016.25.8.10477