Indian Journal of Ophthalmology

CASE REPORT
Year
: 1982  |  Volume : 30  |  Issue : 2  |  Page : 107--108

Eye lashes in the anterior chamber of eye


US Srivastava, RN Tyagi, AK Jain, SK Garg 
 Gandhi Eye Hospital, Aligarh, India

Correspondence Address:
U S Srivastava
Eve, Bank, Gandhi Eye Hospital, Aligarh
India




How to cite this article:
Srivastava U S, Tyagi R N, Jain A K, Garg S K. Eye lashes in the anterior chamber of eye.Indian J Ophthalmol 1982;30:107-108


How to cite this URL:
Srivastava U S, Tyagi R N, Jain A K, Garg S K. Eye lashes in the anterior chamber of eye. Indian J Ophthalmol [serial online] 1982 [cited 2022 Oct 5 ];30:107-108
Available from: https://www.ijo.in/text.asp?1982/30/2/107/28089


Full Text

Presence of eye lashes in the anterior cham­ber of the eye following penetrating injury is is quite rare. Lerche[1] was the first oph­thalmologist to notice its presence Since then few cases have been reported .[2],[3],[4],[5],[6],[7]

 CASE REPORT



R.N. 35 H.M. complained of gross loss of vision and redness in right eye following injury 3 days back.

Examination of the right eye showed lids swollen; congested conjunctiva with marked ciliary congestion; hazy cornea. There was a linear wound in the upper part of cornea. Anterior chamber showed hypopyon occupy­ing 3/4th of it. Pupil was Not visible. Intraocular Pressure was low: Visual Acuity-PL and PR accurate in all quadrants.

X-ray orbit P.A. and lateral views showed presence of a radio opaque foreign body at 6'O clock position.

Patient was put on local and systemic anti­biotics and Corticosteroids.

Cornea became clear and the hypopyon regressed to allow slit lamp examination. Three eye lashes were seen sticking to iris at 12° clock position [Figure 1]. The eye became quiet after 3 weeks but the foreign body) remained entangled in hypopyon at 6'O clock position [Figure 1].

The eye lashes were removed by making an abexterno incision at 12'O clock position under general anaesthesis. A similar incision was made to remove the metallic foreign body at 6'O clock position. The incisions were closed by buried sutures and the eye was bandaged with chloramphenicol and atropine ointment [Figure 2].

Systemic dexamethasone was tapered off in next five weeks.

The eye was quiet at the time of discharge on 21st post operative day. The original corneal wound had healed leaving a fine cor­neal opacity. Intraocular tension was normal digitally. The corrected visual acuity was 6/9p with-1.00D sph. with-4.OOD cyl. 45°.

 DISCUSSION



Entry of the eye lash into the eye is very rare. This rarity is due to the delayed reflex closure of the lids which prevents the contact of the object with the lid margin. Rarely, the closure of the lids occurs simultaneously with the impact of the object which then carries the cilia into the anterior chamber[2],[7]

Although the eye lash may remain inert for many years, there always remains a possi­bility of delayed severe inflammatory reaction leading to blindness[3]. It is, therefore, impor­tant to look for the presence of cilia in the anterior chamber in all cases of penetrating corneal injury especially if the lid margins are also involved.

 SUMMARY



A case of 3 eye lashes and foreign body in anterior chamber following penetrating corneal injury is described.

References

1Lerche Quoted by Duke Elder, Sir S., System of Ophthalmology, Vol. XIV pt, 1, page 553 Henry Kimpton, London, 1972.
2Sherman, I, 1949, Amer. J. Ophthalmol. 32: 9821
3Sharpe, 0., 1925, Amer. J. Ophthalmol 8 : 301.
4Rabey, F., 1966, Klin M bl. Augenhalk 149 : 371.
5Joseph, T., 1967, Eye & ENT Monthly 46. 188.
6Munir, A, 1969, Orient Arch. Ophthalmol. 7 185.
7Angra, S.K., Mukherjee G. and Madan Mohan1977, East. Arch Ophthalmol. 5 : 86.