Mucus fishing syndrome.

Autor: Chiew RLJ; International Eye Cataract Retina Centre, Mount Elizabeth Medical Centre and Farrer Park Medical Centre, Singapore., Au Eong DTM; Department of General Medicine, Tan Tock Seng Hospital, Singapore., Au Eong KG; International Eye Cataract Retina Centre, Mount Elizabeth Medical Centre and Farrer Park Medical Centre, Singapore aueongkahguan@gmail.com.; Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2022 Apr 08; Vol. 15 (4). Date of Electronic Publication: 2022 Apr 08.
DOI: 10.1136/bcr-2022-249188
Abstrakt: Mucus fishing syndrome is a chronic inflammatory ocular surface condition characterised by repetitive self-extraction of mucous strands from the eye.A man in his 30s presented with bilateral ocular redness, itch, irritation, tearing and sticky mucoid discharge for 3 months. Examination disclosed bilateral bulbar and tarsal conjunctival injection. Fluorescein staining disclosed a well-circumscribed area of tarsal conjunctival epithelial defect near the inferior lacrimal punctum in both eyes. The patient admitted to a habit of mechanically removing mucus from his eyes several times a day. Demonstration of the mucus extraction process disclosed direct contact of his fingers with the excoriated tarsal conjunctiva in each eye. He was diagnosed with mucus fishing syndrome and his condition resolved within a month after he stopped fishing mucus from his eyes and had a course of topical antibiotics and steroids.Mucus fishing syndrome is an important diagnostic consideration in patients with chronic conjunctivitis.
Competing Interests: Competing interests: None declared.
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Databáze: MEDLINE