RESUMO
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.
Assuntos
Doenças da Túnica Conjuntiva/etiologia , Corpos Estranhos no Olho/complicações , Ferimentos Oculares Penetrantes/complicações , Granuloma/etiologia , Cactaceae , Criança , Doenças da Túnica Conjuntiva/diagnóstico , Doenças da Túnica Conjuntiva/patologia , Corpos Estranhos no Olho/diagnóstico , Corpos Estranhos no Olho/patologia , Ferimentos Oculares Penetrantes/diagnóstico , Ferimentos Oculares Penetrantes/patologia , Granuloma/diagnóstico , Granuloma/patologia , Humanos , Masculino , Acuidade VisualRESUMO
Radiation-induced ocular complications are common during radiation therapy for cancers of the head and neck. Some are mild and transient, others can be very serious jeopardizing visual function. This rare and unusual case study aims to highlight the different clinical manifestations and the ocular but especially corneal complications associated with radiation therapy as well as the diagnostic and therapeutic procedures of a corneal perforation which is a serious complication of radiation therapy.