Anterior uveitis secondary to intraocular fiber from a hair enhancement product
Purpose: To report a case of anterior uveitis caused by migration of cosmetic “hair-building fibers” into the anterior chamber and discuss previous literature describing ocular disease caused by small foreign fibers. Observations: A 73 year old male presented with his first episode of acute anterior...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993620300189 |
| _version_ | 1811288127254298624 |
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| author | Michael B. Green Milhim I. Aswad Mary K. Daly |
| author_facet | Michael B. Green Milhim I. Aswad Mary K. Daly |
| author_sort | Michael B. Green |
| collection | DOAJ |
| description | Purpose: To report a case of anterior uveitis caused by migration of cosmetic “hair-building fibers” into the anterior chamber and discuss previous literature describing ocular disease caused by small foreign fibers. Observations: A 73 year old male presented with his first episode of acute anterior uveitis. He was found to have a white fiber penetrating through the cornea into the anterior chamber. This foreign body was removed. The patient identified the material as a being from the cosmetic hair-building fiber product he had been using called Toppik. He was treated with topical steroids and antibiotic drops. The uveitis resolved without recurrence by six weeks after his initial presentation. Conclusions: Small synthetic and non-synthetic fibers represent sources of both superficial and intraocular injury. Careful examination of the anterior chamber is critical in patients with new acute uveitis to identify possible foreign fibers that can migrate through the cornea. While medical therapy with topical steroids may suffice for treatment in many cases, intraocular persistence of these materials can result in recurrent inflammation, ocular hypertension, or further migration into the posterior chamber which may require surgical intervention. |
| first_indexed | 2024-04-13T03:31:47Z |
| format | Article |
| id | doaj.art-8733484ffb7f45278fb30a1cbf07b9c3 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-13T03:31:47Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-8733484ffb7f45278fb30a1cbf07b9c32022-12-22T03:04:28ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Anterior uveitis secondary to intraocular fiber from a hair enhancement productMichael B. Green0Milhim I. Aswad1Mary K. Daly2Veterans Affairs Boston Healthcare System, Department of Ophthalmology, 150 South Huntington Avenue, Boston, MA, United States; Boston University School of Medicine, Department of Ophthalmology, 85 East Concord Street, Boston, MA, 02118, United StatesVeterans Affairs Boston Healthcare System, Department of Ophthalmology, 150 South Huntington Avenue, Boston, MA, United StatesVeterans Affairs Boston Healthcare System, Department of Ophthalmology, 150 South Huntington Avenue, Boston, MA, United States; Boston University School of Medicine, Department of Ophthalmology, 85 East Concord Street, Boston, MA, 02118, United States; Corresponding author. Veterans Affairs Boston Healthcare System, Department of Ophthalmology, 150 South Huntington Ave. Boston, MA, 02130, United States.Purpose: To report a case of anterior uveitis caused by migration of cosmetic “hair-building fibers” into the anterior chamber and discuss previous literature describing ocular disease caused by small foreign fibers. Observations: A 73 year old male presented with his first episode of acute anterior uveitis. He was found to have a white fiber penetrating through the cornea into the anterior chamber. This foreign body was removed. The patient identified the material as a being from the cosmetic hair-building fiber product he had been using called Toppik. He was treated with topical steroids and antibiotic drops. The uveitis resolved without recurrence by six weeks after his initial presentation. Conclusions: Small synthetic and non-synthetic fibers represent sources of both superficial and intraocular injury. Careful examination of the anterior chamber is critical in patients with new acute uveitis to identify possible foreign fibers that can migrate through the cornea. While medical therapy with topical steroids may suffice for treatment in many cases, intraocular persistence of these materials can result in recurrent inflammation, ocular hypertension, or further migration into the posterior chamber which may require surgical intervention.http://www.sciencedirect.com/science/article/pii/S2451993620300189Anterior uveitisSynthetic fiberHair-building fiberConjunctival granulomaOphthalmia nodosaIntraocular foreign body |
| spellingShingle | Michael B. Green Milhim I. Aswad Mary K. Daly Anterior uveitis secondary to intraocular fiber from a hair enhancement product American Journal of Ophthalmology Case Reports Anterior uveitis Synthetic fiber Hair-building fiber Conjunctival granuloma Ophthalmia nodosa Intraocular foreign body |
| title | Anterior uveitis secondary to intraocular fiber from a hair enhancement product |
| title_full | Anterior uveitis secondary to intraocular fiber from a hair enhancement product |
| title_fullStr | Anterior uveitis secondary to intraocular fiber from a hair enhancement product |
| title_full_unstemmed | Anterior uveitis secondary to intraocular fiber from a hair enhancement product |
| title_short | Anterior uveitis secondary to intraocular fiber from a hair enhancement product |
| title_sort | anterior uveitis secondary to intraocular fiber from a hair enhancement product |
| topic | Anterior uveitis Synthetic fiber Hair-building fiber Conjunctival granuloma Ophthalmia nodosa Intraocular foreign body |
| url | http://www.sciencedirect.com/science/article/pii/S2451993620300189 |
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