Idiopathic Penetration of Cilia Into the Posterior Segment Presenting as Sectoral Scleritis With Progressive Intraocular Inflammation

Abstract

Purpose: To report two cases of idiopathic intraocular cilia presenting as sectoral scleritis with progressive intraocular inflammation.Methods: Both patients were treated with intravitreal antibiotics and underwent pars plana vitrectomy where the cilia were removed and identified on histopathology.Results: One patient developed a retinal detachment while being treated for presumed endophthalmitis. The intraocular cilium was discovered during pars plana vitrectomy. In the second case, the cilium was detected on dilated fundus exam and was believed to be the cause of the patient's scleritis and vitritis. Therapeutic vitrectomy was performed. In both cases, the cilia were positively identified on histopathology.Conclusion: Idiopathic intraocular penetration of cilia should be considered in the differential diagnosis of sectoral scleritis with progressive intraocular inflammation.

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

“…An intraocular foreign body is present in 18–41% of open-globe injuries [ 1 ] and is the key factor for visual outcome when removing an intraocular foreign body. Cilia is a type of small autogenic biological intraocular foreign body that is difficult to detect by auxiliary equipment prior to surgery, especially when located at the posterior ocular segment [ 2 ], and can lead to infective endophthalmitis or uveitis [ 3 ]. It was also a key factor leading to intraocular infection after intraocular foreign body removal surgery.…”