Gan Jenny Y, Lin Michael M
Harvard Medical School, Boston, Massachusetts, USA.
Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Case Rep Ophthalmol Med. 2025 Apr 3;2025:6657874. doi: 10.1155/crop/6657874. eCollection 2025.
This report highlights the first known report of an intraocular eyelash embedded in the inferior midperipheral iris following a routine cataract surgery. A 74-year-old female presented 5 months postoperatively from a full-thickness macular hole repair with a 3+ nuclear sclerotic cataract. She underwent an uneventful left eye cataract extraction with insertion of posterior chamber intraocular lens (PCIOL). Review of surgical video revealed well-draped eyelashes and no introduction of an eyelash into the anterior chamber at any point during surgery. The first postoperative visit was notable for no foreign bodies and centered PCIOL. Then, 1 week postoperatively, the anterior segment examination revealed a linear foreign body embedded in the inferior midperipheral iris, without corneal endothelium touch. The foreign body was removed in the operating room and revealed to be an eyelash by pathology. The patient's visual acuity during her first two postoperative visits was 20/30 and improved to 20/20 with refraction at her 1-month postoperative visit. There was minimal postoperative inflammation and no evidence of endophthalmitis. To prevent introduction of an intraocular eyelash associated with cataract surgery, appropriate measures intraoperatively and postoperatively should be taken, including meticulous draping of the eyelashes and lids, diligent corneal wound hydration, and clear patient education.
本报告重点介绍了首例已知的在常规白内障手术后发生的睫毛嵌入眼内中周下部虹膜的病例。一名74岁女性在接受全层黄斑裂孔修复术后5个月出现3+核性白内障。她接受了左眼白内障摘除术并植入后房型人工晶状体（PCIOL），手术过程顺利。手术视频回顾显示，术中睫毛覆盖良好，手术过程中未发现睫毛进入前房。术后首次就诊时未见异物，人工晶状体居中。术后1周，眼前节检查发现中周下部虹膜内嵌有一条线状异物，未触及角膜内皮。该异物在手术室取出，病理检查显示为睫毛。患者术后前两次就诊时视力为20/30，术后1个月验光后视力提高到20/20。术后炎症轻微，无眼内炎迹象。为防止白内障手术相关的眼内睫毛植入，应在术中和术后采取适当措施，包括仔细覆盖睫毛和眼睑、认真进行角膜伤口水化处理以及对患者进行清晰的教育。
