Intravitreal cilium associated with retinal detachment 40 years following penetrating eye injury: a case report
| Autor: | Konstantinos Andreanos, Dimitrios Brouzas, Nikolaos Nomikarios, Maria Dettoraki, Stavroula Davou, Marilita M Moschos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
animal structures Visual acuity Cilium genetic structures medicine.medical_treatment Visual Acuity Vitrectomy Case Report Vitreous cavity Diagnosis Differential Ophthalmology medicine Penetrating eye injury Penetrating Eye Injury Humans Cilia Aged EYE FOREIGN BODY business.industry Retinal Detachment Retinal detachment General Medicine medicine.disease eye diseases Eye Injuries Penetrating Vitreous Body Eye Foreign Bodies Female sense organs medicine.symptom business |
| Zdroj: | BMC Ophthalmology |
| ISSN: | 1471-2415 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink