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DOI: 10.1055/a-1785-5090
Rare Foreign Body in Anterior Chamber following Cataract Surgery: About an Eyelash
Seltener Fremdkörper in der Vorderkammer nach Kataraktoperation: etwa eine WimperIntroduction
Phacoemulsification and intraocular artificial lens implantation are well-known standard procedures to treat cataract, with a very low complication rate [1]. Most common complications such as posterior capsular bag rupture or corneal edema are well described [2]. Postoperative complications such as increased intraocular pressure and secondary cataract are also well known. Nevertheless, there are rare complications such as an intraocular foreign body after cataract surgery and few cases can be found in the literature.
We describe a case in which a cilium was noted on day 3 postoperatively to have penetrated the paracentesis. We also review the relevant literature and advance a few hypotheses on the mechanism of inoculation and suggest ways to avoid such complications.
Publication History
Received: 26 September 2021
Accepted: 17 February 2022
Article published online:
26 April 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
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References
- 1 Gaskin GL, Pershing S, Cole TS. et al. Predictive modeling of risk factors and complications of cataract surgery. Eur J Ophthalmol 2016; 26: 328-337 DOI: 10.5301/ejo.5000706.
- 2 Aaronson A, Viljanen A, Kanclerz P. et al. Cataract complications study: an analysis of adverse effects among 14,520 eyes in relation to surgical experience. Ann Transl Med 2020; 8: 1541 DOI: 10.21037/atm-20-845.
- 3 Etter J, Kim T. Eyelash migration into a clear corneal incision following cataract surgery. J Cataract Refract Surg 2008; 34: 1417-1418 DOI: 10.1016/j.jcrs.2008.04.030.
- 4 Calladine D, Packard R. Clear corneal incision architecture in the immediate postoperative period evaluated using optical coherence tomography. J Cataract Refract Surg 2007; 33: 1429-1435 DOI: 10.1016/j.jcrs.2007.04.011.
- 5 Francis Stanley P. An intraocular eyelash after uneventful cataract surgery. Am J Ophthalmol Case Rep 2020; 20: 100939 DOI: 10.1016/j.ajoc.2020.100939.
- 6 Galloway GD, Ang GS, Shenoy R. et al. Retained anterior chamber cilium causing endophthalmitis after phacoemulsification. J Cataract Refract Surg 2004; 30: 521-522 DOI: 10.1016/j.jcrs.2003.11.028.
- 7 Islam N, Dabbagh A. Inert intraocular eyelash foreign body following phacoemulsification cataract surgery. Acta Ophthalmol Scand 2006; 84: 432-434 DOI: 10.1111/j.1600-0420.2005.00611.x.
- 8 Walker NJ, Hann JV, Talbot AW. Postoperative cilium entrapment by clear corneal incision. J Cataract Refract Surg 2007; 33: 733-734 DOI: 10.1016/j.jcrs.2006.12.020.
- 9 Humayun M, de la Cruz Z, Maguire A. et al. Intraocular cilia. Report of six cases of 6 weeksʼ to 32 yearsʼ duration. Arch Ophthalmol 1993; 111: 1396-1401 DOI: 10.1001/archopht.1993.01090100104036.