Insect wing case: unusual foreign body.
OBJECTIVE
To report five cases of insect wing case foreign body.


METHODS
Clinical presentation, investigations, management, and outcome of these cases are discussed.


RESULTS
Five patients, four males and one female, in the age group from 4 to 55 years presented with an insect wing case embedded in the cornea or peripheral limbus. All patients were relatively asymptomatic, and the foreign body was associated with vascularization and infiltration. Culture of the foreign body after removal showed Staphylococcus epidermidis in two cases and Corynebacterium species and Mycobacterium fortuitum in one case each. All patients responded to removal of the wing case foreign body and treatment with topical ciprofloxacin (0.3%).


CONCLUSIONS
Insect wing case is an unusual foreign body and produces minimal symptoms and may be associated with infective agents in some patients.
Fogla
R
R
Medical Research Foundation, Chennai, India. MDSAAA35@giasmd01.vsnl.net.in
Rao
S K
SK
Anand
A R
AR
Madhavan
H N
HN
D000293:Adolescent; D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents; D002648:Child; D002675:Child, Preschool; D003315:Cornea / Q000382:microbiology / Q000473:pathology; D065306:Corneal Injuries; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005129:Eye Foreign Bodies / Q000209:etiology* / Q000473:pathology; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D005260:Female; D006801:Humans; D007313:Insecta / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D014921:Wings, Animal / Q000382:microbiology; D014946:Wound Infection / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology
D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions