Mucus fishing syndrome

Mucus fishing syndrome is an example of inadvertent damage caused by patient-induced irritation to the ocular surfece. Patients use their fingernails to fish out strings of mucus. They ofl en report foreign body sensation, irritation, and excessive mucous production. The behavior exacerbates the problems, causing a worsening spiral. A carefiil history examination will reveal the actual cause. 

Mucus fishing syndrome requires treatment of the underlying condition and education about the patient s role in creating the disorder. When present, allergy must be addressed. The newer antihistamine-mast cell stabilizer combination products, such as olopatadine, have been particularly helpful in managing the disorder in these patients. 

---