Moin Kayvon A, Ashrafzadeh Amin, Phillips Paul, Hoopes Phillip C, Moshirfar Majid
Ophthalmology, Hoopes Vision Research Center, Draper, USA.
Ophthalmology, Nassau University Medical Center, East Meadow, USA.
Cureus. 2025 Mar 10;17(3):e80360. doi: 10.7759/cureus.80360. eCollection 2025 Mar.
Cataract surgery has consistently demonstrated safety and efficacy in restoring vision through the removal of visually-significant cataracts. Advances in surgical techniques and technology have led to excellent visual outcomes and minimal complications. Despite this, rare complications can occur, such as the introduction of intraocular foreign bodies, including cilia. Although extremely uncommon, the presence of cilia in the eye post intraocular surgery poses potential risks, including infection and inflammation. This study presents two distinct cases of intraocular cilia found in the anterior chamber following crystalline lens extraction with phacoemulsification. In both cases, cilia were identified shortly after the procedures, despite any signs of foreign bodies at the conclusion of the surgical procedure. This study also explores potential mechanisms for cilia migration into the eye, including the self-sealing nature of clear corneal incisions and the characteristics of cilia through a brief literature search of reported cases in the current literature. This study highlights the need for careful surgical practices to minimize the risk of foreign body complications and underscores the importance of continued research into intraocular foreign body management.
白内障手术通过摘除具有明显视觉影响的白内障，在恢复视力方面一直展现出安全性和有效性。手术技术和科技的进步带来了出色的视觉效果以及极少的并发症。尽管如此，仍可能出现罕见的并发症，比如眼内异物的引入，包括睫毛。虽然极为罕见，但眼内手术后眼内出现睫毛存在潜在风险，包括感染和炎症。本研究呈现了两例在白内障超声乳化吸出术后前房发现眼内睫毛的不同病例。在这两例中，尽管手术结束时未发现任何异物迹象，但术后不久就发现了睫毛。本研究还通过对当前文献中报道病例的简要文献检索，探讨了睫毛移入眼内的潜在机制，包括透明角膜切口的自封闭特性以及睫毛的特征。本研究强调了谨慎的手术操作以尽量降低异物并发症风险的必要性，并凸显了持续开展眼内异物处理研究的重要性。
