Sahu Sabin, Puri Lila Raj, Singh Sanjay Kumar
Department of Ophthalmology, Sagarmatha Choudhary Eye Hospital, Lahan, Siraha.
Department of Ophthalmology, Biratnagar Eye Hospital, Biratnagar, Nepal.
Int Med Case Rep J. 2017 Mar 22;10:105-107. doi: 10.2147/IMCRJ.S128628. eCollection 2017.
The presence of intraocular eyelashes following penetrating eye injury or ocular surgery is relatively uncommon. The response of the eye to intraocular eyelashes is variable. The eyelash may be symptomatic or may remain asymptomatic for long periods.
We report a case with two intraocular eyelashes and an iris cyst after 2 years of asymptomatic period following penetrating eye injury.
A 24-year-old male presented with decreased vision in the left eye which he had noticed for the previous 2 weeks. His visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with -2.5 DC × 140° correction. The intraocular pressure was 12 mmHg in both eyes. On slit-lamp examination, the left eye showed 8 mm linear peripheral corneal opacity nasally, two eyelashes in the superior anterior chamber, and an iris cyst measuring 4 mm × 4 mm in the superior iris. The right eye was normal. Dilated fundus examination of both eyes was normal. The eyelashes and cyst were removed surgically. There were no complications during the 3-month follow-up period.
Intraocular implantation of eyelashes following penetrating eye injury can remain asymptomatic for long periods; however, late development of iris cyst may occur.
穿透性眼外伤或眼科手术后眼内出现睫毛相对少见。眼睛对眼内睫毛的反应各不相同。睫毛可能有症状，也可能长期无症状。
我们报告一例穿透性眼外伤后两年无症状期出现两根眼内睫毛和一个虹膜囊肿的病例。
一名24岁男性因左眼视力下降前来就诊，他在过去两周内注意到了这一情况。他的右眼视力为6/6，左眼视力为6/18，经-2.5 DC×140°矫正后提高到6/9。双眼眼压均为12 mmHg。裂隙灯检查显示，左眼鼻侧周边角膜有8 mm线性混浊，前房上方有两根睫毛，虹膜上方有一个4 mm×4 mm的虹膜囊肿。右眼正常。双眼散瞳眼底检查均正常。睫毛和囊肿通过手术切除。在3个月的随访期内未出现并发症。
穿透性眼外伤后眼内植入睫毛可能长期无症状；然而，可能会出现虹膜囊肿的晚期发展。
