Intracameral Cilium after Uneventful Cataract Surgery: A Case Report

Purpose: Here, we report a case of intracameral cilia detected following cataract surgery.Case summary: A 67-year-old woman underwent uneventful phacoemulsification with intraocular lens implantation in the left eye. On postoperative day 1, slit-lamp examination revealed an intraocular cilium in the anterior chamber adjacent to the temporal corneal incision. The cornea was clear and anterior chamber inflammation was minimal, with no signs of hypopyon, conjunctival injection, or infectious endophthalmitis. Prompt cilium removal and anterior chamber irrigation were performed in the operating room using the original corneal incision. Postoperative management included topical antibiotics and corticosteroids, with close clinical monitoring. At two weeks, uncorrected visual acuity was 1.0, intraocular pressure had normalized, and slit-lamp examination revealed a clear cornea, with no anterior chamber inflammation nor infection or other complications.Conclusions: Retained intracameral cilium is a rare potential complication of cataract surgery; meticulous surgical technique may prevent its occurrence. Prompt removal is warranted if an intracameral cilia are detected postoperatively.