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Post-Traumatic Cilia Remaining Inert in the Posterior Chamber for 50 Years
Cosmin Adrian Teodoru1, Mihai Dan Roman1, Adrian Hașegan1
1Faculty of Medicine, "Lucian Blaga" University of Sibiu, 550024 Sibiu, Romania.
Diagnostics (Basel, Switzerland)
|May 13, 2023
Summary
Intraocular cilia, or eyelashes inside the eye, are rare after trauma. Surgical removal can cause complications like increased intraocular pressure, highlighting the need for careful patient assessment.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Intraocular foreign body injuries (IOFB) can cause significant ocular pathologies.
- Intraocular cilia are an uncommon finding following penetrating eye injuries or surgery.
Purpose of the Study:
- To report a rare case of intraocular cilia presenting decades after initial trauma.
- To discuss the management and potential complications of intraocular cilia.
Main Methods:
- Case presentation of a 58-year-old female with a 50-year-old corneal perforation history.
- Ophthalmological examination revealing intraocular cilia in the anterior chamber.
- Surgical removal of the intraocular cilia followed by post-operative monitoring.
Main Results:
- The patient developed severe eye pain and elevated intraocular pressure (IOP) of 54 mmHg 24 hours post-surgery.
- Slit-lamp examination showed signs of acute ocular inflammation including corneal edema and perikeratic congestion.
- Medical management with hypotensive agents led to slight improvement.
Conclusions:
- Intraocular cilia can remain asymptomatic for many years.
- Surgical intervention for intraocular cilia requires careful consideration of individual patient factors and meticulous pre- and post-operative care to mitigate risks such as secondary glaucoma.
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