眼内异物损伤(IOFB)可导致许多眼内病变;视觉结果取决于损伤的机制,异物的类型和随后的并发症。穿透性损伤或手术干预后,眼内纤毛(眼睫毛)的存在并不常见。在本论文中,我们介绍了一例58岁女性,她有50年前的眼外伤和左眼角膜穿孔伤.在眼科检查中,我们注意到在前房中直线延伸,像纤毛,在虹膜后面延伸。患者报告说它出现在COVID-19感染期间,反复咳嗽后。经过一段时间的随访,我们决定拔掉睫毛;手术后24小时,患者主诉严重的眼痛。LE的眼压(IOP)为54mmHg。裂隙灯检查显示角周充血,角膜水肿和散瞳。立即开始眼睛降压治疗,患者的一般情况略有改善。眼内纤毛可以耐受多年而不会引起任何眼部反应。必须根据患者的个人需求及其眼部特征,并在手术前后进行仔细的随访,才能做出手术干预的决定。
Intraocular foreign body injuries (IOFB) can lead to a number of intraocular pathologies; the visual results depend on the mechanism of the injury, the type of foreign body and the subsequent complications. The presence of intraocular cilia (eye lashes) following penetrating injury or surgical intervention is uncommon. In the present paper, we present a case of a 58-year-old woman with a history of eye trauma and a perforated corneal wound in the left eye that occurred 50 years ago. On the ophthalmological exam we noticed in the anterior chamber a straight linear extension, resembling cilia, extending behind the iris. The patient reports that it appeared during COVID-19 infection, after repeated episodes of coughing. After a follow-up period, we decided to remove the eyelash; 24 h after surgery, the patient complained of severe eye pain. Intraocular pressure (IOP) in LE was 54 mmHg. The slit-lamp examination showed perikeratic congestion, corneal edema and mydriasis. Eye hypotensive treatment was started immediately and the patient\'s general condition slightly improved. Intraocular cilia can be tolerated for many years without causing any ocular reaction. The decision for surgical intervention must be taken according to the individual needs of the patient and his ocular characteristics with careful pre- and post-operative follow up.