Abstract

We are reporting a case of a 59 years old woman who underwent uncomplicated manual small incision cataract surgery (MSICS) and was presented on postoperative day one with cilium in the anterior chamber. On postoperative day one examination, uncorrected visual acuity in the left eye was 6/12p and 6/9 on pinhole. Left eye IOP was 14mmHg on I-care. Anterior chamber slit lamp examination showed a cilium in oblique orientation protruding externally through the preexisting paracentesis. There was minimal anterior chamber cell and flare consistent with uncomplicated MSICS. Patient was advised cilium removal under topical anesthesia under strict asepsis.
Several mechanisms of eyelash entry have been proposed. Eye rubbing may be able to distort the incision with significant manual pressure directly to the globe and allow the cilium to be entrapped in a corneal wound after uneventful MSICS. Prompt removal may minimize the chance of infection or inflammation.