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Ophthalmic Images

Corneal ulcer and germinated paddy seed in the superior fornix

Basak, Soham; Basak, Samar K

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Indian Journal of Ophthalmology: August 2020 - Volume 68 - Issue 8 - p 1661
doi: 10.4103/ijo.IJO_2386_19
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Paddy seed injury of cornea during harvesting season is very common in coastal India where rice is grown as the main crop.[123] A 42-year-old man, farmer, presented with history of redness and visual loss in left eye for 2 months. His presenting visual acuity was 20/400. He had mild lid edema, bulbar congestion, and corneal ulcer in the upper half of the cornea [Fig. 1a]. On eversion of upper lid, we found a germinated paddy seed in vegetative stage which was removed with a cotton bud [Fig. 1b]. KOH mount preparation showed filamentous fungus. The ulcer healed with natamycin eye drops within 2 weeks with final visual acuity of 20/60 [Fig. 1c].

Figure 1
Figure 1:
(a) Long-standing corneal ulcer. (b) Germinated paddy seed in vegetative stage which was removed from superior fornix. (c) Healed ulcer with 20/80 vision

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The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

1. Joseph T. Paddy grain injury of the eye.A study of 277 cases Br J Ophthalmol. 1968;52:191–7
2. Kulshrestha M, Palimar P. Corneal ulcers in paddy workers in south India Occup Med (Lond). 1996;46:320
3. Sil AK. Grain found growing in the eye Community Eye Health. 2000;13:32
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