Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study

The purpose of this report is to present a case of a 63-year-old man with orbital Morgellons disease. A 63-year-old man presented reporting 15 years of daily egress of different foreign bodies apparently found in the superior fornices of both eyes, exhibiting a classic manifestation known as the mat...

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Main Authors: Sean Ghiam, Badal Sojitra, Collin Reiff, Connie M. Sears, Justin N. Karlin
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2024/9952722
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author Sean Ghiam
Badal Sojitra
Collin Reiff
Connie M. Sears
Justin N. Karlin
author_facet Sean Ghiam
Badal Sojitra
Collin Reiff
Connie M. Sears
Justin N. Karlin
author_sort Sean Ghiam
collection DOAJ
description The purpose of this report is to present a case of a 63-year-old man with orbital Morgellons disease. A 63-year-old man presented reporting 15 years of daily egress of different foreign bodies apparently found in the superior fornices of both eyes, exhibiting a classic manifestation known as the matchbox sign. He described the symptoms starting after a facial trauma. The patient stated that at several points over the 15-year course of his condition, he was so distressed that he had contemplated suicide. On multiple exams by a range of ophthalmic professionals, there was no evidence of foreign body. Further investigation involving MRI and plain radiographs demonstrated similar lack of findings. A trial of gabapentin was performed without improvement in symptoms. He discontinued care 5 months later. Morgellons disease is a poorly understood condition, particularly ophthalmic presentations of the disease. Despite extensive investigation, the exact cause of Morgellons disease remains unclear, and there is no definitive treatment for the condition. We highlight the importance of empathetic listening in building trust, as a means of helping the patient to seek psychological help.
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spelling doaj-art-8a1876b00a884e889f990e25907db0112025-08-20T03:37:51ZengWileyCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/9952722Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case StudySean Ghiam0Badal Sojitra1Collin Reiff2Connie M. Sears3Justin N. Karlin4Sackler School of MedicineDepartment of OphthalmologyDepartment of PsychiatryDivision of Orbital and Ophthalmic Plastic SurgeryDivision of Orbital and Ophthalmic Plastic SurgeryThe purpose of this report is to present a case of a 63-year-old man with orbital Morgellons disease. A 63-year-old man presented reporting 15 years of daily egress of different foreign bodies apparently found in the superior fornices of both eyes, exhibiting a classic manifestation known as the matchbox sign. He described the symptoms starting after a facial trauma. The patient stated that at several points over the 15-year course of his condition, he was so distressed that he had contemplated suicide. On multiple exams by a range of ophthalmic professionals, there was no evidence of foreign body. Further investigation involving MRI and plain radiographs demonstrated similar lack of findings. A trial of gabapentin was performed without improvement in symptoms. He discontinued care 5 months later. Morgellons disease is a poorly understood condition, particularly ophthalmic presentations of the disease. Despite extensive investigation, the exact cause of Morgellons disease remains unclear, and there is no definitive treatment for the condition. We highlight the importance of empathetic listening in building trust, as a means of helping the patient to seek psychological help.http://dx.doi.org/10.1155/2024/9952722
spellingShingle Sean Ghiam
Badal Sojitra
Collin Reiff
Connie M. Sears
Justin N. Karlin
Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study
Case Reports in Psychiatry
title Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study
title_full Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study
title_fullStr Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study
title_full_unstemmed Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study
title_short Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study
title_sort perceived conjunctival foreign material egress in morgellons disease a case study
url http://dx.doi.org/10.1155/2024/9952722
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