In the past year I have seen four patients who have had vegetable spines or bracts lodged in the conjunctival sac, with marked symptoms of scratching, lacrimation, etc., which characterize a sharp foreign body rubbing on the cornea.1
These tiny bracts have barbs on them and tend to stick firmly in the conjunctival aspect of the eyelid. Being vegetable matter, they are very hard to see. By accident I found a way to visualize them more easily, and I felt this information worth passing on.
The first case of this sort was relieved when I finally, with difficulty, located the foreign body with the use of the slit lamp. I was able to remove it with fine forceps. In the second case I failed to see the foreign body on everting the lid, using a loupe and a good light. Looking again, I everted the upper lid with a
PALMERTON ES. Transillumination Through Everted Lid to Visualize Foreign Bodies. AMA Arch Ophthalmol. 1956;55(2):186–187. doi:10.1001/archopht.1956.00930030188003
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