A Case of Intraocular Cilium after 25-Gauge Micro-Incision Vitrectomy Surgery
1Department of Ophthalmology, Muroran City General Hospital, Muroran, Japan.
Case Reports in Ophthalmology
|January 19, 2023
Summary
A stray eyelash (cilium) was found inside the eye three months after micro-incision vitrectomy surgery for retinal detachment. This case highlights a potential risk associated with vitrectomy procedures.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Micro-incision vitrectomy surgery is a minimally invasive technique for retinal detachment repair.
- Cataract surgery is often combined with vitrectomy for improved outcomes.
Observation:
- A 61-year-old male developed an intraocular cilium (eyelash) on the retina three months post-vitrectomy.
- The patient had undergone vitrectomy and cataract surgery for rhegmatogenous retinal detachment.
Findings:
- The intraocular cilium was discovered during a routine postoperative examination.
- No immediate intervention was performed; the patient is under continuous monitoring.
Implications:
- This case suggests that foreign bodies like cilia can enter the eye during vitrectomy.
- The use of noncontact wide-angle viewing systems may pose a risk for such intraocular foreign body migration.
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
608
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
608
01:25Glaucoma: Overview
674
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
674