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Traumatic insertion of eyelashes into corneal stroma
Edward J Casswell1, Evgenia V Anikina1, Ali A Mearza2
1The Western Eye Hospital, London NW1 5QH, United Kingdom.
Summary
A 75-year-old experienced corneal trauma from her own fist, resulting in intra-corneal eyelashes. Surgical removal led to good visual recovery, highlighting a rare case of eyelash insertion into the cornea.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Traumatic Eye Injury
Background:
- Eyelash foreign bodies typically lodge on the conjunctiva or cornea surface.
- Intra-corneal foreign bodies are uncommon, especially without endothelial breach.
Observation:
- A 75-year-old female sustained direct blunt trauma to her right eye with her fist.
- Examination revealed multiple eyelashes embedded within the corneal stroma, without endothelial perforation.
- The presumed entry route was via the superior conjunctiva and limbus.
Findings:
- Surgical excision of the intra-corneal eyelashes was successfully performed.
- The patient achieved good visual recovery post-operatively.
- Histopathological analysis confirmed eyelash fragments within the corneal stroma.
Implications:
- This case expands the understanding of unusual foreign body trajectories into the cornea.
- It underscores the importance of thorough examination in cases of ocular trauma.
- Highlights the potential for surgical intervention in managing deep intra-corneal foreign bodies.