Al-Khersan Hasenin, Scott Nathan L, Flynn Harry W
The Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Case Rep Ophthalmol. 2022 Apr 28;13(1):318-322. doi: 10.1159/000521831. eCollection 2022 Jan-Apr.
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 . 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.
我们报告了一例白内障手术后透明角膜伤口中残留睫状体继发眼内炎的病例。一名67岁女性在常规白内障手术后5天因右眼仅有光感就诊于眼科急诊室。右眼检查显示视力下降、结膜充血、角膜内斑块和前房纤维蛋白。此外，在透明角膜切口中可见一根睫状体。进行了玻璃体抽吸并注射抗生素和类固醇，患者于次日接受了玻璃体切除术。术中培养及睫状体培养均有结果。玻璃体切除术后一年，患眼视力恢复至20/25。总之，白内障手术相关的透明角膜伤口中残留睫状体虽罕见，但可能导致眼内炎。手术前应清除眼表的睫状体。正确铺巾和使用聚维酮碘消毒对于降低眼内炎风险至关重要。
