In this case, the ophthalmologist recommended surgery due to the patient's age, risk for infection, and need to explore the corneal wound further. The patient's family opted for surgical removal of the cilium. Iatrogenic cataract and postsurgical astigmatism were concerns. However, the cilium was removed without complications, and the corneal wound did not require suturing, limiting the amount of postoperative astigmatism. Subconjunctival injections of antibiotics were administered postoperatively. The patient was prescribed topical antibiotics, mydriatics, and steroids with instructions to limit activities, especially swimming, and to wear an eye shield over his right eye at all times for 2 weeks. Additionally, a week after surgery he was instructed to start patching the left eye for 30 to 60 minutes daily to prevent the development of amblyopia. Two-month follow-up demonstrated an inferior paracentral corneal scar, no intraocular inflammation, no cataract, and 20/20 vision in each eye.