Intravitreal cilia in phakic penetrating eye injury

Abstract

Intravitreal cilia should be considered in penetrating eye injuries even in phakic eyes with no radiological evidence of IOFB, especially if associated with endophthalmitis. B-scan ultrasonography may aid detection of intravitreal cilia and thus alter clinical management.

Retained presumed intraocular cotton fiber after cataract operation: Long-term follow-up with in vivo confocal microscopy

“…20 Despite the organic nature of cotton fibers, none of our cases developed endophthalmitis or persistent uveitis irrespective of the location of the fiber in the anterior segment. This is in contrast to retained cilium, which has been reported to cause endophthalmitis, 6 combined endophthalmitis and rhegmatogenous retinal detachment, 21 persistent uveitis, 13 lens abscess, 15 and corneal graft rejection. 12 A possible explanation is that these fibers carry few, if any, microorganisms after sterilization.…”

Traumatic insertion of eyelashes into corneal stroma

“…Cilia have been reported in the anterior chamber with no intra-ocular inflammation for up to 50 years [8]. Conversely, intra-corneal or intra-ocular cilia have been reported to lead to uveitis [9], endophthalmitis [10], iris cyst [11], corneal endothelial cell deficiency [12] and anterior lens opacification [13].…”

Post-traumatic cilia remaining inert in the anterior chamber for 50 years: a case report

“…Cilia can enter into the eye either as a result of penetrating surgery [3,6] or penetrating injury [1-3,5,7,9]. Post-traumatic intra-ocular cilia events comprise a small portion (0.4%) of all intra-ocular foreign bodies [1].…”

“…The route of intra-ocular access can be via penetrating injury [1-5] or ocular surgery [6]. While some cases are symptomatic [1,3,7,8], some remain asymptomatic [1,2,6,9,10] for years.…”