Clinical findings of foreign bodies located in the upper fornix and tarsal conjunctiva/Ust forniks ve tarsal konjonktivaya yerlesen yabanci cisimlerde klinik bulgular

Objectives: To evaluate the clinical findings in patients who underwent foreign body removal from the upper fornix and tarsal conjunctiva. Materials and Methods: The records of the patients who underwent foreign body removal from the upper fornix or tarsal conjunctiva between 01.09.2011 and 30.09.2013 were retrospectively reviewed. Full ophthalmic examination was performed in all patients. The nature of the foreign body, the time to removal of the foreign body, additional anterior segment and corneal findings, and former ocular medications, if any, were also recorded. Results: Ninety-nine eyes of 93 patients were included in the study. The mean exposure time to the foreign body was 4.7 days, and this period was ranged from 0 to 60 days. The vast majority of the foreign bodies (61.3%, n=57) were organic. Thirteen patients (14%) were misdiagnosed and undertreated by at least one ophthalmologist. Corneal epithelial involvement was present in almost half of the patients (50.5%, n=47). Conclusion: Foreign bodies settled in the upper conjunctival structures might cause a delay in the diagnosis and treatment. In case of suspicion of foreign body, a complete ophthalmologic examination including upper eyelid eversion and taking full medical history are important for determination of such foreign bodies. Key Words: Foreign body, tarsal conjunctiva, upper fornix Amac: Ust forniks ve tarsal konjonktivadan yabanci cisim cikarilan hastalarda klinik bulgulari degerlendirmek. Gerec ve Yontem: Klinigimize 01.09.2011 ve 30.09.2013 tarihleri arasinda basvuran ve ust forniks veya tarsal konjonktivadan yabanci cisim cikarilan hastalara ait kayitlar geriye donuk olarak incelendi. Hastalarin tam oftalmolojik muayeneleri yapildi. Yabanci cismin niteligi ve gozle temasindan gozden cikarilmasina kadar gecen sure, varsa onceki okuler tedaviler ve eslik eden on segment bulgulari kaydedildi. Bulgular: Calismaya 93 hastanin 93 gozu dahil edildi. Yabanci cismin gozle temasindan gozden cikarilmasina kadar gecen sure ortalama 4,7 gundu ve bu sure 0-60 gun arasinda degismekteydi. Cikarilan yabanci cisimlerin buyuk cogunlugunun organik karakterde oldugu izlendi (%61,3, n=57). On uc hastanin (%14) oncesinde en az bir goz hekimi tarafindan farkli tanilarla tedavi edildigi saptandi. Hastalarin %50,5' inde (n=47) kornea epitel hasari mevcuttu. Sonuc: Ust konjonktiva yapilarina yerlesen yabanci cisimlerde tani ve tedavide gecikme izlenebilmektedir. Yabanci cisimden suphelenme, ayrintili anamnez