A rare case of mechanical conjunctivitis

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Abstract

Introduction. Mechanical conjunctivitis is a rare form of eye surface inflammatory condition. One of its types, a mucus fishing syndrome, leads to a chronic eye surface trauma.

Purpose. To review the available literature data on the mechanical conjunctivitis prevalence, and to describe the diagnosis and treatment methods of its rare type, the mucus fishing syndrome.

Materials and methods. The article describes the case of the mucus fishing syndrome development in a patient suffering from this type of mechanical conjunctivitis for about 3 years.

Results. The correct diagnosis was not established in our patient for a long period of time that is why an improper treatment had been prescribed, which led to complications and to the need for surgical treatment.

Conclusions. The prevalence of mechanical conjunctivitis is low, and in the available literature, there are only 4 publications on the topic. The mucus fishing syndrome should be treated in cooperation with a psychiatrist, since the usual use of topical reparative and lubricating therapy is not enough.

About the authors

Inna A. Riks

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russia

Author for correspondence.
Email: riks0503@yandex.ru

MD, PhD, Assistant Professor. Ophthalmology Department

Russian Federation, Saint Petersburg

Sanasar S. Papayan

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russia

Email: dr.papanyan@yandex.ru

MD, Postgraduate Research Student. Ophthalmology Department

Russian Federation, Saint Petersburg

Pavel A. Nechiporenko

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russia

Email: paul_because@mail.ru

MD, PhD, Assistant Professor. Ophthalmology Department

Russian Federation, Saint Petersburg

References

  1. Астахов Ю.С., Рикс И.А. Современные методы диагностики и лечения конъюнктивитов. - СПб.: СПбГМУ им. академика И.П. Павлова, 2007. [Astakhov YS, Riks IA. Sovremennye metody diagnostiki i lecheniya konyunktivitov. Saint Petersburg: SPbGMU im. akademika I.P. Pavlova; 2007. (In Russ.)]
  2. Рикс И.А. К вопросу диагностики и лечения конъюнктивитов // Современная оптометрия. - 2007. - № 4. - С. 30-33. [Riks IA. To the question of diagnosis and treatment of conjunctivitis. Sovremennaya optometriya. 2007;(4):30-33. (In Russ.)]
  3. Rapuano JС, Luchs TK, Kim T. Anterior segment. Maryland Heights: Mosby Inc.; 2000.
  4. McCulley JP, Moore MB, Matoba AY. Mucus Fishing Syndrome. Ophthalmology. 1985;92(9):1262-1265. doi: 10.1016/s0161-6420(85)33873-3.
  5. Slagle WS, Slagle AM, Brough GH. Mucus fishing syndrome: case report and new treatment option. Optometry. 2001;72(10):634-640.

Supplementary files

Supplementary Files
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2. Fig. 1. A list of drugs used by the patient for several years (out of patient’s pocket-book)

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3. Fig. 2. Discharge record after laser removal of skin lesions

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4. Fig. 3. Skin condition in the nasal canthus area of the right eye before laser surgery

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5. Fig. 4. Skin hyperemia in the nasal area and the medial third of the lower eyelid of the right eye

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6. Fig. 5. Lower eyelid conjunctiva condition at the time of initial examination

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7. Fig. 6. Lower eyelid conjunctiva condition after 3 months

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Copyright (c) 2018 Riks I.A., Papayan S.S., Nechiporenko P.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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