Intravitreal cilia in phakic penetrating eye injury.
BACKGROUND
Intraocular cilia present clinical perplexity due to their radiolucency, the extremely variable ocular response to such cilia, and the inadvisability of using MRI in cases of suspected metallic intraocular foreign bodies (IOFB).


METHODS
Two cases of intravitreal cilia associated with phakic penetrating eye injury are described where preoperative CT scan revealed no retained IOFB.


RESULTS
B-scan ultrasonography detected intravitreal cilia in one patient and raised this suspicion in the other. One patient presented with endophthalmitis unresponsive to intravitreal antibiotics, the other with culture-negative anterior uveitis. Both underwent vitrectomy and removal of cilia.


CONCLUSIONS
Intravitreal cilia should be considered in penetrating eye injuries even in phakic eyes with no radiological evidence of IOFB, especially if associated with endophthalmitis. B-scan ultrasonography may aid detection of intravitreal cilia and thus alter clinical management.
Seawright
A A
AA
Royal Brisbane Hospital, Queensland, Australia.
Bourke
R D
RD
Gray
P J
PJ
Cooling
R J
RJ
D000293:Adolescent; D000328:Adult; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging* / Q000601:surgery; D005140:Eyelashes / Q000000981:diagnostic imaging*; D006801:Humans; D007908:Lens, Crystalline / Q000293:injuries* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014821:Vitrectomy; D014822:Vitreous Body / Q000000981:diagnostic imaging*