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Title: Mucus fishing syndrome
Authors: Chiew, Ryan L. J.
Au Eong, Denise T. M.
Eong, Kah Guan Au
Keywords: Science::Medicine
Issue Date: 2022
Source: Chiew, R. L. J., Au Eong, D. T. M. & Eong, K. G. A. (2022). Mucus fishing syndrome. BMJ Case Reports, 15(4), e249188-.
Journal: BMJ Case Reports
Abstract: Mucus fishing syndrome is a chronic inflammatory ocular surface condition characterised by repetitive self-extraction of mucous strands from the eye.A man in his 30s presented with bilateral ocular redness, itch, irritation, tearing and sticky mucoid discharge for 3 months. Examination disclosed bilateral bulbar and tarsal conjunctival injection. Fluorescein staining disclosed a well-circumscribed area of tarsal conjunctival epithelial defect near the inferior lacrimal punctum in both eyes. The patient admitted to a habit of mechanically removing mucus from his eyes several times a day. Demonstration of the mucus extraction process disclosed direct contact of his fingers with the excoriated tarsal conjunctiva in each eye. He was diagnosed with mucus fishing syndrome and his condition resolved within a month after he stopped fishing mucus from his eyes and had a course of topical antibiotics and steroids.Mucus fishing syndrome is an important diagnostic consideration in patients with chronic conjunctivitis.
ISSN: 1757-790X
DOI: 10.1136/bcr-2022-249188
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Organisations: International Eye Cataract Retina Centre
Farrer Park Medical Centre
Teck Puat Hospital
Rights: © 2022 BMJ Publishing Group Limited. All rights reserved.
Fulltext Permission: none
Fulltext Availability: No Fulltext
Appears in Collections:LKCMedicine Journal Articles

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