Year : 1968 | Volume
: 16 | Issue : 4 | Page : 251--252
A rare intraocular foreign body - Hair from buffaloe's tail
MR Chaddah, BK Ahluwalia
Department of Ophthalmology, Medical College, Rohtak, India
M R Chaddah
Department of Ophthalmology, Medical College, Rohtak
|How to cite this article:|
Chaddah M R, Ahluwalia B K. A rare intraocular foreign body - Hair from buffaloe's tail.Indian J Ophthalmol 1968;16:251-252
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Chaddah M R, Ahluwalia B K. A rare intraocular foreign body - Hair from buffaloe's tail. Indian J Ophthalmol [serial online] 1968 [cited 2021 Jan 16 ];16:251-252
Available from: https://www.ijo.in/text.asp?1968/16/4/251/37568
Inspite of their quiet life, various types of intraocular foreign bodies are encountered among the agriculturists in India. Visual loss from such injuries may be great because of superimposed infection and inadequate and delayed treatment owing to the indifference of the villagers. Common injuries in the countryside are due to thorns, twigs of the trees, leaves, seeds and grains, while severer trauma may follow an injury sustained by a blow from an animal's head, horn or hoof. A penetrating injury from the hair of a buffaloe's tail is unknown, and on going through the literature, we did not come across this type of intraocular foreign body. The following case is therefore reported.
5½-years-old school boy, presented on March 9, 1965, with pain, tearing, redness, and photophobia due to an injury to the right eye 10 days ago, when it was struck by the tail. of a buffalo when the patient touched the teats of the animal with a stick.
Physical examination revealed nothing abnormal. On local examination, the left eyeball was found to be normal. The palpebral fissure of the right eye was narrow, there was mild superficial and ciliary injection. At 9 O'clock position just inside the pupillary margin corresponding to the corneal portal of entry, there was pinhead size whitish infiltration. A grayish-black foreign body was lying obliquely in the anterior chamber from the point of infiltration into the iris in which it was impacted at 5 O' clock about 2 mm inside the limbus. Aqueous flare was present and iris appeared muddy in the lower and inner part. The pupil was pear-shaped with the point of the pear pointing towards 5 O'clock position. Direct reaction to light was sluggish. The lens was normal. Visual acuity was 6/12. Fundus appeared to be normal. A diagnosis of hair of buffaloe's tail in the anterior chamber was made, although the child was not aware of its presence.
Operative procedure: on March 10, 1965, the foreign body was removed under general anesthesia. An attempt was made to hold the corneal end of the foreign body but was unsuccessful. Thereafter, a limbal section was made in the lower nasal quadrant. With the escape of the aqueous, the anterior chamber collapsed and the corneal extremity of the hair protruded out at the side of its entry. It was grasped and pulled out by an iris forcs. Atropine and antibiotic ointments were instilled and the eye bandaged for twenty four hours.
The foreign body was blackish in colour and 10 mm long. The corneal end of the hair was blunt, whereas the other end which had penetrated the iris was bevelled and sharp [Figure 1]. Such bevelling is attributed to the habit of the animal to rub its tail on the body.
Follow-up visit about two months after discharge showed normal lens and fundus along with 1 x 3/4.5 mm residual macular opacity of the cornea. Ultimate vision was 6/9 in that eve.
A rare case of hair from the buffalo's tail lying in the anterior chamber from where it was removed is described.