Intravitreal cilium associated with retinal detachment 40 years following penetrating eye injury: a case report.

Abstract:

BACKGROUND:The presence of an intraocular cilium is very rare and the response of the eye to the cilium is variable. We present the case of a patient with a cilium found in the vitreous cavity during vitrectomy for rhegmatogenous retinal detachment 40 years following penetrating eye injury. To our knowledge, this is the longest reported presence of a cilium in the vitreous cavity. CASE PRESENTATION:A 70-year-old Caucasian woman presented to the emergency department of our hospital complaining of sudden visual impairment and floaters of her right eye initiated 2 weeks earlier. Ophthalmic history included a penetrating injury of the right eye with a sharp metallic object 40 years ago and an uncomplicated phacoemulsification surgery in the same eye 2 years earlier. Fundoscopy revealed an inferior macula off rhegmatogenous retinal detachment. No inflammation was present. During vitrectomy and under scleral indentation at 5-o'clock position, a cilium was found at far retinal periphery. One end of the cilium was embedded in the retina, whereas the other end floated freely in the vitreous. The cilium was removed through the pars plana sclerotomy with intraocular foreign body forceps. The procedure was completed without any complications. CONCLUSION:Penetrating eye injury is the most possible cause of cilium entrance in vitreous cavity in this case, which suggests that cilium can be well tolerated in vitreous cavity for as long as 40 years.

journal_name

BMC Ophthalmol

journal_title

BMC ophthalmology

authors

Dettoraki M,Andreanos K,Davou S,Nomikarios N,Moschos MM,Brouzas D

doi

10.1186/s12886-015-0010-6

subject

Has Abstract

pub_date

2015-03-12 00:00:00

pages

25

issn

1471-2415

pii

10.1186/s12886-015-0010-6

journal_volume

15

pub_type

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