Hidden eyelash mimics uveitis
Ultrasound biomicroscopy detected a foreign body concealed in the angle recess after inflammation subsided.
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By
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Teraya Smith
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September 24, 2026
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Clinical Scorecard: Hidden eyelash mimics uveitis
At a Glance
| Category | Detail |
|---|
| Condition | Uveitis |
| Key Mechanisms | Intraocular foreign body (IOFB) causing inflammation |
| Target Population | Patients with unexplained unilateral uveitis |
| Care Setting | Ophthalmology |
Key Highlights
- 13-year-old girl with recurrent HLA-B27–associated anterior uveitis
- Eyelash lodged in anterior chamber angle diagnosed after surgical removal
- Inflammation resolved post-surgery with no recurrence over 2 years
- Initial treatment included corticosteroids and immunosuppressive therapy
- HLA-B27 positivity does not exclude other causes of ocular inflammation
Guideline-Based Recommendations
Diagnosis
- Consider ultrasound biomicroscopy when anterior-segment foreign body is suspected
- Repeat examination after inflammation subsides
Management
- Surgical removal of identified intraocular foreign body
- Topical and subconjunctival corticosteroid treatment for inflammation
Monitoring & Follow-up
- Follow-up for recurrence of uveitis after treatment
Risks
- Intraocular eyelashes can cause variable inflammatory responses
- Negative trauma history does not exclude an IOFB
Patient & Prescribing Data
Patients with unexplained unilateral uveitis
Corticosteroids may be necessary for inflammation management
Clinical Best Practices
- Perform thorough examinations for potential foreign bodies in uveitis cases
- Educate patients on the possibility of undetected IOFBs
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