2013
DOI: 10.3109/09273948.2013.766216
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Quantitative Assessment of Anterior Chamber Inflammation in Patients with Retained Presumed Intraocular Cotton Fiber after Phacoemulsification

Abstract: Following cataract surgery, retained presumed intraocular cotton fibers did not cause any additional inflammation in the eye within the short term. In contrast to other intraocular foreign bodies, which may cause severe inflammation, retained intraocular cotton fibers seem to be well tolerated following cataract surgery.

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Cited by 13 publications
(6 citation statements)
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“…11 A small prospective controlled study of 14 patients with retained presumed cotton fibers following phacoemulsification surgery showed no increase in anterior chamber inflammation in these cases. 8 The inert nature of the intraocular cotton fibers was confirmed in a retrospective review of 19 patients with a mean follow-up of 42 months. 7 Metallic foreign bodies from a phacoemulsification tip (titanium with anodized surface) were also shown to be inert within the anterior chamber.…”
Section: Discussionmentioning
confidence: 97%
See 1 more Smart Citation
“…11 A small prospective controlled study of 14 patients with retained presumed cotton fibers following phacoemulsification surgery showed no increase in anterior chamber inflammation in these cases. 8 The inert nature of the intraocular cotton fibers was confirmed in a retrospective review of 19 patients with a mean follow-up of 42 months. 7 Metallic foreign bodies from a phacoemulsification tip (titanium with anodized surface) were also shown to be inert within the anterior chamber.…”
Section: Discussionmentioning
confidence: 97%
“…1 Retained intraocular foreign bodies after cataract surgery are rare, with few documented reports in the literature. [2][3][4][5][6][7][8][9][10][11][12] We report an exceptionally rare complication following seemingly routine cataract surgery. It highlights the importance of an index of suspicion for retained intraocular foreign bodies when a patient presents with inflammation in the operated eye.…”
mentioning
confidence: 99%
“…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]. The removal of cotton products like gauze and swabs from surgical trays and the substitution of cotton clothes by new disposable textiles consisting of polymeric plastic materials has obviously led to a decrease of intraocular delivery of cotton fibres.…”
Section: Discussionmentioning
confidence: 99%
“…[6,18,19] The presence of extraneous materials in the anterior chamber may elicit severe inflammatory reactions and lead to grave consequences to the eye. [7,20] Toxic anterior segment syndrome (TASS) is an acute sterile anterior chamber inflammatory reaction, usually developing between 12 and 48 h after surgery, [21][22][23] though late-onset TASS has also been reported. [24] It is a devastating complication of intraocular surgery.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the presence of contaminants or toxic/irritant substances on the ocular surface is a safety hazard, posing a risk of postoperative infection and inflammation should they gain access into the anterior chamber. [4][5][6][7] Ensuring a hydrated cornea and a clean ocular surface free of unwanted material is essential to address these issues and achieve perfect anterior segment visualisation during cataract surgery.…”
Section: Introductionmentioning
confidence: 99%