Indian Journal of Ophthalmology

ARTICLE
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

Correspondence Address:
M R Chaddah
Department of Ophthalmology, Medical College, Rohtak
India




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


How to cite this URL:
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


Full Text

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.

 CASE REPORT



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.

 SUMMARY



A rare case of hair from the buf­falo's tail lying in the anterior cham­ber from where it was removed is described.