Postoperative cilium entrapment by clear corneal incision

• Published in: Journal of cataract and refractive surgery Vol. 33; no. 4; pp. 733 - 734
• Main Authors: Walker, Nathan J., MBBS(Hons), Hann, Joshua V., MBBS, Talbot, A. William, FRANZCO
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.04.2007; Elsevier Science
• Subjects: Aged; Anterior Chamber - pathology; Biological and medical sciences; Cornea - surgery; Eye Foreign Bodies - diagnosis; Eye Foreign Bodies - etiology; Eyelashes; Foreign-Body Migration - diagnosis; Foreign-Body Migration - etiology; Humans; Lens Implantation, Intraocular; Male; Medical sciences; Ophthalmology; Phacoemulsification - adverse effects; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Incision; Postoperative; Cornea; Treatment; Cilium; Surgery; Ophthalmology
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2006.12.020

A 75-year-old man had routine phacoemulsification cataract extraction with posterior chamber intraocular lens implantation in the left eye using a temporal corneal incision and inferior paracentesis. Examinations at 1 day and 1 week were unremarkable; however, at the 6-week assessment, a cilium was noted to have penetrated the external ostium of the paracentesis, with the proximal (follicle) end abutting the internal ostium of the wound. While the cilium was removed without incident, this chance finding may aid our understanding of how intraocular cilia are occasionally discovered following routine small-incision sutureless cataract surgery.