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Intraocular eyelashes and iris cyst in anterior chamber following penetrating eye injury: a case report

Authors Sahu S, Puri LR, Singh SK

Received 24 November 2016

Accepted for publication 28 February 2017

Published 22 March 2017 Volume 2017:10 Pages 105—107


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Sabin Sahu,1 Lila Raj Puri,1 Sanjay Kumar Singh2

1Department of Ophthalmology, Sagarmatha Choudhary Eye Hospital, Lahan, Siraha, 2Department of Ophthalmology, Biratnagar Eye Hospital, Biratnagar, Nepal

Background: The presence of intraocular eyelashes following penetrating eye injury or ocular surgery is relatively uncommon. The response of the eye to intraocular eyelashes is variable. The eyelash may be symptomatic or may remain asymptomatic for long periods.
Objective: We report a case with two intraocular eyelashes and an iris cyst after 2 years of asymptomatic period following penetrating eye injury.
Case presentation: A 24-year-old male presented with decreased vision in the left eye which he had noticed for the previous 2 weeks. His visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with -2.5 DC × 140° correction. The intraocular pressure was 12 mmHg in both eyes. On slit-lamp examination, the left eye showed 8 mm linear peripheral corneal opacity nasally, two eyelashes in the superior anterior chamber, and an iris cyst measuring 4 mm × 4 mm in the superior iris. The right eye was normal. Dilated fundus examination of both eyes was normal. The eyelashes and cyst were removed surgically. There were no complications during the 3-month follow-up period.
Conclusion: Intraocular implantation of eyelashes following penetrating eye injury can remain asymptomatic for long periods; however, late development of iris cyst may occur.

Keywords: intraocular eyelashes, iris cyst, penetrating eye injury

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