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Case Reports
. 2020 Dec 28;34(2):129-130.
doi: 10.4103/1319-4534.305038. eCollection 2020 Apr-Jun.

Retained intracameral cotton fibers following phaco-vitrectomy

Christina Y Weng  1 , Weijie V Lin  2 , Joseph F Morales  1
Affiliations
Case Reports

Retained intracameral cotton fibers following phaco-vitrectomy

Christina Y Weng et al. Saudi J Ophthalmol. .

Abstract

This report describes a 76-year-old female who presented with cotton fibers retained in the anterior chamber following a combined phaco-vitrectomy. These fibers did not cause any complications in her postoperative course. This observation has not been previously reported in association with a combined anterior segment-posterior segment surgery. Retained cotton fibers are typically inert and do not require intervention. However, this iatrogenic postoperative complication should be avoided if possible, and several approaches for how to do so are discussed.

Keywords: Cotton fibers; cotton strands; intracameral foreign body; intraocular cotton; phaco-vitrectomy; surgical complication.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Slit-lamp photograph of the right eye at postoperative week one reveals a relatively quiet eye with a cotton fiber strand (arrows) captured between the anterior capsule and intraocular lens implant at the 2 o'clock position. Notice the 10–0 nylon suture through the main corneal wound temporally
Figure 2
Figure 2
Magnified slit-lamp photograph of the right eye at postoperative week one shows a cotton fiber strand (arrows) in the anterior chamber abutting the endothelial surface of the inferior paracentesis. No hypopyon is seen in this relatively quiet eye
See this image and copyright information in PMC

References

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