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著者:Daniel Barkhuff and Skyler Lentz
 
Abstract
Ocular foreign bodies are a common complaint. Low-velocity foreign bodies are often easy to remove but may cause corneal abrasions. High-velocity projectiles should raise the concern for a penetrating globe injury; advanced imaging such as a CT scan of the orbits may be necessary.
 
Keywords
blepharospasm
Conjunctival foreign body
conjunctival sac
cyanoacrylate
everting eyelid
eyelash
foreign body sensation
penetrating foreign body
Super Glue

Presentation  
    Low-velocity projectiles, such as windblown dust particles, can be retained in the tear film, the upper tarsal plate, or in a conjunctival sac. The patient will feel a foreign-body sensation but may not be very accurate in locating the foreign body by sensation alone. On examination, normally occurring white papules inside the lids can be mistaken for foreign bodies, and transparent foreign bodies can be invisible in the tear film (until outlined by fluorescein dye) after orbit radiographs are obtained.
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