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Article
February 1955

BURDOCK BUR OPHTHALMIA

Author Affiliations

Ann Arbor, Mich.
From the Department of Ophthalmology, University of Michigan Medical School.

AMA Arch Ophthalmol. 1955;53(2):260-263. doi:10.1001/archopht.1955.00930010262013
Abstract

THE AMERICAN burdock (Arctium minus; cocklebur), during the late summer and fall months, can be found in all of the 48 states. This common weed, often growing to the height of a man's shoulder, bears a profusion of hooklet-covered burs (Fig. 1). Enclosed within each bur are literally hundreds of extremely fine, sharply pointed, barbed bracts, or phyllaries (Fig. 2). Although finer than the average adult human hair, these bracts are very rigid and firm, easily capable of penetrating the conjunctiva, and even the tarsal plate. The unidirectional orientation of the barbs forces the burdock bract, once embedded, to burrow even deeper into the ocular tissues.

This minute bract is a particularly painful ocular foreign body. Its presence is characterized by severe ocular discomfort, foreign body sensation, photophobia, marked conjunctival hyperemia, stringy mucoid, or even pseudomembranous, conjunctival exudation, lid edema, blepharospasm, and pathognomonic abrasions of the corneal epithelium. Small granulomatous

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