Intraocular eyelash in anterior chamber following penetrating trauma and self-sealing corneal laceration: Case report

Q4 Medicine Trauma Case Reports Pub Date : 2024-09-16 DOI:10.1016/j.tcr.2024.101102

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Abstract

Background

Intraocular foreign bodies pose a significant clinical challenge. The occurrence of an eyelash within the anterior chamber is infrequent, as illustrated by this case. We present a rare case of two eyelashes inside the anterior chamber following penetrating trauma, a scenario with few documented occurrences, especially those not related to surgical interventions.

Case description

A 35-year-old male presented with symptoms of a foreign body sensation, redness, blurred vision, and photophobia two days after sustaining a wire-induced injury. Examination revealed a self-sealing corneal laceration, two eyelashes in the anterior chamber, iridocorneal adhesion, and an irregular iris. The surgical removal of the eyelashes was successfully performed. Postoperatively, the patient's visual acuity improved significantly from 20/50 to 20/20, accompanied by a marked reduction in anterior chamber inflammation.

Conclusion

This case highlights the importance of considering all types of intraocular foreign bodies, including seemingly innocuous materials like eyelashes, to diagnose ocular traumas. It highlights the critical need for prompt diagnosis and intervention to prevent long-term complications and ensure favorable outcomes.

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穿透性外伤和自愈性角膜裂伤后前房的眼内睫毛：病例报告

背景眼外异物是一项重大的临床挑战。正如本病例所示，在前房内出现睫毛的情况并不多见。病例描述：一名 35 岁的男性在被电线击伤两天后出现异物感、发红、视力模糊和畏光症状。检查发现角膜自封裂伤、前房有两根睫毛、虹膜角膜粘连、虹膜不规则。手术成功切除了睫毛。术后，患者的视力从 20/50 显著提高到 20/20，前房炎症也明显减轻。结论本病例强调了在诊断眼外伤时考虑所有类型眼内异物（包括睫毛等看似无害的物质）的重要性。本病例强调了在诊断眼外伤时考虑所有类型眼内异物（包括睫毛等看似无害的物质）的重要性，并突出了及时诊断和干预以预防长期并发症和确保良好疗效的迫切需要。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.