Recurrent endophthalmitis caused by intraocular eyelashes

Wang, Jiawei; Zhang, Xiaoyang; Wang, Jing; Zhang, Han

doi:10.18240/ijo.2019.02.25

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As previous cases have demonstrated, intraocular cilia can remain inert for many years [ 9 ]. However, intraocular cilia have also been associated with severe complications including endophthalmitis [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Al-Khersan¹,

Scott²,

Flynn³

2022

Case Rep Ophthalmol

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Prior reports have documented cases of intraocular eyelashes associated with endophthalmitis [ 3 , 4 ]. Herein, we report a case of exogenous endophthalmitis after cataract surgery associated with an eyelash retained in the clear corneal cataract wound.…”

Section: Introductionmentioning

confidence: 99%

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

Al-Khersan¹,

Scott²,

Flynn³

2022

Case Rep Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Even if there is no history of major ocular trauma, patients with unexplained intraocular infection must be examined carefully, and intraocular foreign bodies such as intraocular cilia should also be considered, and detailed examination should be made along the wound tract [ 16 ]. In our study, 10 cilias around other foreign body were found and cleared off.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

Itoh¹

2023

Case Rep Ophthalmol

View full text Add to dashboard Cite

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.

show abstract

Recurrent endophthalmitis caused by intraocular eyelashes

Cited by 3 publications

References 7 publications

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

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

Contact Info

Product

Resources

About