Multiple Intraocular Cilia Following Blunt Trauma and the Role of AS‐OCT: A Case Report

We present a rare and highly unusual case of multiple intraocular cilia penetrating the cornea following blunt trauma without an associated corneal laceration. A 34‐year‐old male presented 4 days after being struck in the left eye by a retractable washing line, experiencing worsening pain, redness, photophobia, and blurred vision. Slit–lamp examination revealed multiple self‐sealing full‐thickness corneal perforations, one containing an embedded eyelash extending into the anterior chamber and three additional cilia in the iridocorneal angle. Anterior segment optical coherence tomography (AS‐OCT) demonstrated hyper‐reflective lines consistent with the trajectories of the penetrating eyelashes. Surgical extraction was performed under sub‐Tenon′s anaesthesia, with intraoperative challenges including corneal epithelial decompensation impairing visualisation. Postoperative recovery was uneventful, with complete resolution by 3 months. This case highlights the rarity of this trauma, the utility of AS‐OCT in mapping penetration pathways and key surgical considerations for managing intraocular cilia.