An unusual case of nine cilia embedded in the retina after a perforating ocular injury

Ramos, G. Z.; Gonçalves, Thiago Barbosa; Bordon, Arnaldo Furman

doi:10.1016/j.ajoc.2020.100587

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…While intraocular cilium can be commonly found in the anterior segment of the eye, cilium presence in the fundus is rare [3, 9, 17]. Although traumatic processes can be associated with cilium straying into the eye, it is not commonly thought that cilium will enter the eye intraoperatively but rather will postoperatively enter through the corneal incision during the time that the wound is healing [4, 15, 16].…”

Section: Discussionmentioning

confidence: 99%

“…Although intraocular cilium cases are considered to be rare, there have been some reports of this occurring after surgery or a penetrating injury [1][2][3][4][5][6][7][8][9]. The effects of cilium on the eye vary widely, ranging from asymptomatic to serious complications, such as causing a decrease in the visual acuity, endophthalmitis, corneal decompensation, and retinal detachment [6,8,[10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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A Case of Intraocular Cilium after 25-Gauge Micro-Incision Vitrectomy Surgery

Itoh¹

2023

Case Rep Ophthalmol

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We report a case of intraocular cilium after micro-incision vitrectomy surgery for retinal detachment. A 61-year-old male underwent vitrectomy with cataract surgery for rhegmatogenous retinal detachment. The postoperative course was generally good with no re-detachment, but on examination 3 months later, a cilium was observed on the retina above the fundus. After discussing with the patient, it was decided to take no immediate action and just continuously monitor the patient in order to detect if there was worsening of any of the symptoms. The present case report suggests that foreign bodies such as cilium may stray into the eye through trocar even during vitrectomy. One of the possible causes was the risk of the noncontact wide-angle viewing system.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Case of Intraocular Cilium after 25-Gauge Micro-Incision Vitrectomy Surgery

Itoh¹

2023

Case Rep Ophthalmol

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“…According to a review of reported cases in the literature, intraocular cilia most commonly occur after cataract surgery [ 5 , 6 ] or penetrating ocular trauma [ 7 , 8 ]. As previous cases have demonstrated, intraocular cilia can remain inert for many years [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Endophthalmitis Associated with a Retained Cilium in the Clear Corneal Wound after Cataract Surgery

Al-Khersan¹,

Scott²,

Flynn³

2022

Case Rep Ophthalmol

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We report a case of endophthalmitis occurring secondary to a retained cilium in a clear corneal wound after cataract surgery. A 67-year-old female presented to an ophthalmology emergency room with light perception vision in the right eye 5 days after routine cataract surgery. Examination of the right eye demonstrated decreased vision, conjunctival injection, a corneal endoplaque, and anterior chamber fibrin. Additionally, a cilium was visible in the clear corneal incision. A vitreous aspiration and injection of antibiotics and steroid were performed, and the patient underwent a vitrectomy the next day. Intraoperative cultures and culture of the cilium grew <i>Staphylococcus epidermidis</i>. One year after vitrectomy, the patient’s vision recovered to 20/25 in the operated eye. In conclusion, a retained cilium in a clear corneal wound related to cataract surgery, though rare, may result in endophthalmitis. The surgical field should be cleared of cilia on the ocular surface prior to surgery. Proper draping and use of povidone-iodine antisepsis are essential in reducing the risk of endophthalmitis.

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“…The incidence of intraocular cilia in blast injuries is about 3%. According to a previous report, 6/11 eyes with intraocular cilia were caused by flips of iron wire [ 6 , 7 ]. Intraocular foreign bodies in the posterior segment present more serious prognoses [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Value of Ocular Endoscopy in Extraction of Intraocular Foreign Bodies of Cilia in Patients with Open Ocular Trauma

Zha

Wang

et al. 2021

Med Sci Monit

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Background The aim of this study was to analyze the value of ocular endoscopy in detecting and extracting intraocular cilia in patients with ocular trauma. Material/Methods We retrospectively analyzed data on identification and extraction of 46 intraocular cilia in 16 eyes with open-globe injury during endoscope-assisted vitrectomy. Results A total of the 16 patients with open-globe injury were operated on from September 2002 to June 2019. The cornea in 14 eyes was cloudy. Two eyes had endophthalmitis and 13 eyes had retinal detachment. A total of 46 cilia were extracted through direct observation under the ocular endoscope during vitrectomy 1 to 68 weeks after injury. The number of cilia per eye varied from 1 to 10. Most of the cilia were located in or near the wound. Postoperative IOP was normal in 14 patients. The follow-up after surgery showed hypotony in only 2 eyes (7.2 and 5.8 mmHg, respectively). Compared with preoperative intraocular pressure, there was a statistically significant difference. The postoperative visual acuity improved in 12 eyes and remained unchanged in 3 eyes. The vision after surgery was significantly improved compared with that before surgery ( P =0.006). The intraocular pressure increased significantly after operation ( P <0.001). And no glaucoma or retinal detachment or endophthalmitis was found. No eyes needed additional vitreous surgery. Conclusions Ocular endoscopy allows surgeons to detect intraocular cilia that were no undetected by CT or B-ultrasound preoperatively in time and to extract them effectively. It improves performance of vitrectomy in the presence of a cloudy cornea and also prevents exogenous endophthalmitis. The vision of patients with ocular trauma was improved.

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An unusual case of nine cilia embedded in the retina after a perforating ocular injury

Cited by 6 publications

References 7 publications

A Case of Intraocular Cilium after 25-Gauge Micro-Incision Vitrectomy Surgery

A Case of Intraocular Cilium after 25-Gauge Micro-Incision Vitrectomy Surgery

Endophthalmitis Associated with a Retained Cilium in the Clear Corneal Wound after Cataract Surgery

Value of Ocular Endoscopy in Extraction of Intraocular Foreign Bodies of Cilia in Patients with Open Ocular Trauma

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