Dr. MANAVI DEOKRISHNA SINDAL

DR.ANNAJI RAO KOTA, DR. HARSH VARDHAN SINGH, DR. S. SIVARANJANI

Abstract

A 44-year-old gentleman presented with left eye penetrating trauma following ‘in and out’ iron-wire injury. Following primary corneal tear repair with lens extraction, vision at presentation was 20/200 with anterior segment reaction and no view of fundus. B-scan revealed multiple high reflective curvilinear echoes having minimal reverberation and no back shadowing. Computed tomography failed to reveal any intra ocular foreign body. Patient underwent pars plana vitrectomy during which multiple cilia were retrieved from the vitreous cavity. While the acute infection resolved, he experienced multiple episodes of recurrent low-grade inflammation that resolved with topical steroids and cycloplegics. He underwent sutureless scleral fixation of intraocular lens and is maintaining a visual acuity of 20/30, with a quiet eye. The diagnosis of intraocular cilia can be challenging, but B-scan is the imaging modality of choice. The final visual prognosis can be good with judicious management.