Intraocular foreign bodies after cataract surgery

Microfibres in the Capsular Bag after Cataract Surgery

“…The way of how foreign bodies are delivered to the anterior segment during cataract surgery remains mainly unexplained 1 . In the case observed here, it was obvious that microfibres had preoperatively accumulated in the irrigation handpiece during the cleaning process.…”

“…Foreign bodies delivered to the anterior segment during cataract surgery include a wide range of different structures and materials [1], indicating that several potential mechanisms may be causally relevant for these undesired incidences. Foreign materials include presumed cotton fibres, small metallic and plastic particles, cilia, or microstructures of unknown material [1]. Cotton fibres previously seemed to have been a relatively frequent postoperative finding after cataract surgery occurring in 1.7 to 6.4 % of all eyes [2,3].…”

“…In this case, the remaining intraocular fibres did not cause any signs of inflammation or deterioration of visual function during long-term follow-up. Presently, no general recommendations of how to deal with postoperatively discovered foreign structures are available [1]. Since the majority of structures are inert, it seems appropriate to observe further development carefully and frequently.…”

“…A surprisingly variant spectrum of foreign bodies has been observed postoperatively in the anterior eye segment after cataract surgery [1]. The majority of these structures represent microfibres often entrapped in a corneal incision or floating in the anterior chamber.…”