M G Wirth1, H Helbig. 1. Department of Ophthalmology, University Hospital Zurich, Switzerland. gabriela.wirth@usz.ch
Abstract
BACKGROUND: Intraocular cilia after penetrating injuries or surgery causing acute or subclinical inflammation are a well-known problem. In a healthy young patient with acute intraocular inflammation but no history of trauma the diagnosis may be missed initially. HISTORY AND SIGNS: A young farmer presented with severe eye pain, scleritis and a circumscribed chorioretinal and vitreous infiltrate. There was no history or evidence of eye trauma or systemic disease. THERAPY AND OUTCOME: Staphylococci were identified from vitreous material. During vitreous surgery an intraretinal cilium was found and removed. After intravitreal antibiotic treatment, the vision completely recovered. CONCLUSION: Acute intraocular inflammation should alert the ophthalmologist to consider an intraocular foreign body as a possible cause even if there is no history of trauma.
BACKGROUND: Intraocular cilia after penetrating injuries or surgery causing acute or subclinical inflammation are a well-known problem. In a healthy young patient with acute intraocular inflammation but no history of trauma the diagnosis may be missed initially. HISTORY AND SIGNS: A young farmer presented with severe eye pain, scleritis and a circumscribed chorioretinal and vitreous infiltrate. There was no history or evidence of eye trauma or systemic disease. THERAPY AND OUTCOME: Staphylococci were identified from vitreous material. During vitreous surgery an intraretinal cilium was found and removed. After intravitreal antibiotic treatment, the vision completely recovered. CONCLUSION:Acute intraocular inflammation should alert the ophthalmologist to consider an intraocular foreign body as a possible cause even if there is no history of trauma.
Authors: Steven S Saraf; Thellea K Leveque; Joon-Bom Kim; Robert W Nash; Kathryn L Pepple; Lisa C Olmos de Koo Journal: Retin Cases Brief Rep Date: 2020-05-25