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Retained anterior chamber cilium causing endophthalmitis after phacoemulsification
Gavin D Galloway1, Ghee Soon Ang, Rupal Shenoy
1Department of Ophthalmology, Norfolk and Norwich University Hospital, Norfolk, United Kingdom.
Journal of Cataract and Refractive Surgery
|March 20, 2004
Summary
An eyelash caused endophthalmitis after cataract surgery. Prompt treatment and foreign body removal restored the patient's vision, highlighting the need for preventative measures in intraocular surgery.
Area of Science:
- Ophthalmology
- Surgical Complications
- Microbiology
Background:
- Cataract surgery is a common procedure with a low risk of complications.
- Endophthalmitis is a serious intraocular infection that can lead to vision loss.
- Foreign bodies in the anterior chamber can lead to infection and inflammation.
Observation:
- An 81-year-old male developed endophthalmitis three days after uneventful cataract surgery.
- A curvilinear foreign body was identified in the anterior chamber during recovery.
- The foreign body was surgically removed and histologically confirmed as an eyelash.
Findings:
- Histological examination confirmed the foreign body was an eyelash.
- The patient received standard treatment for endophthalmitis.
- Following foreign body removal and treatment, the patient's visual acuity improved to 6/9.
Implications:
- Eyelash contamination is a rare but preventable cause of endophthalmitis after intraocular surgery.
- Meticulous surgical technique and patient preparation are crucial to minimize the risk of foreign body introduction.
- Early diagnosis and management of endophthalmitis are essential for visual recovery.