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Journal Français d'Ophtalmologie
Volume 38, n° 4
pages 373-374 (avril 2015)
Doi : 10.1016/j.jfo.2015.01.002
Post-traumatic cilia in the anterior chamber
Cil post-traumatique dans la chambre antérieure
 

F. Alami , H. Chokrani, W. Bengraii, E.H. Abdellah, A. Berraho
 Service d’ophtalmologie B, hôpital des spécialités, CHU de Rabat, Rabat institut, , rue Lamfadel-Cherkaoui BP 6527, Rabat, Morocco 

Corresponding author. Hay El Menzeh, no 1075 CYM Rabat, Maroc.

A 20-year-old girl presented to the eye emergency department with a 6-month trauma history (Figure 1, Figure 2). In her right eye, visual acuity was 20/20. A paracentral corneal opacity was noted. Pupil was regular and central. A cilium was noted in the anterior chamber without any inflammation. Lens was clear. The IOP was 14mmHg and fundus was normal. The left eye was normal.



Figure 1


Figure 1. 

Corneal temporal opacity, pupil normal. Cilia in the anterior chamber.

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Figure 2


Figure 2. 

The distal end freely mobile in the anterior chamber and the proximal end is not visible.

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Cilia can enter into the eye either as a result of penetrating injury or penetrating surgery.

Post-traumatic intra-ocular cilia events comprise a small portion (0.4%) of all intra-ocular foreign bodies. Cilia can be entrapped in the cornea, anterior chamber, posterior chamber, lens, vitreous or retina. Anterior chamber cilia account for 45% of all intra-ocular cilia.

The response of the eye to the intra-ocular cilia is unpredictable and variable; it can be associated to inflammation and infection, although cilia may remain inert for a long time like in our case.

The asymptomatic course of intra-ocular cilia is related to its relatively inert nature compared to other organic materials and the immune privileged feature of the eye. Based on this fact, we decided for observation and for a regular monitoring of the eye in this asymptomatic case.

Disclosure of interest

The authors declare that they have no conflict of interest concerning this article.



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