Phacoemulsification and intraocular artificial lens implantation are well-known standard procedures to treat cataract, with a very low complication rate [1]. Most
common complications such as posterior capsular bag rupture or corneal edema are well described [2]. Postoperative complications such as increased intraocular
pressure and secondary cataract are also well known. Nevertheless, there are rare complications such as an intraocular foreign body after cataract surgery and few cases can be found in the
literature.
We describe a case in which a cilium was noted on day 3 postoperatively to have penetrated the paracentesis. We also review the relevant literature and advance a few hypotheses on the
mechanism of inoculation and suggest ways to avoid such complications.
2
Aaronson A,
Viljanen A,
Kanclerz P.
et al.
Cataract complications study: an analysis of adverse effects among 14,520 eyes in relation to surgical experience. Ann Transl Med 2020; 8: 1541
9
Humayun M,
de la Cruz Z,
Maguire A.
et al.
Intraocular cilia. Report of six cases of 6 weeksʼ to 32 yearsʼ duration. Arch Ophthalmol 1993; 111: 1396-1401
