To report the clinical course of ophthalmia nodosa with a retained lenticular seta misdiagnosed and treated as non-infectious posterior uveitis for 7 consecutive years.
Methods:
Meticulous clinical examination led to discovery of the caterpillar seta embedded in the crystalline lens and the intravitreal setae.
Results:
Lens-sparing pars plana vitrectomy and removal of free-floating vitreal seta resulted in complete resolution of vitritis and uveitis.
Conclusion:
Embedded seta within a clear lens may remain sequestered, and may be left untouched under close observation, precluding a clear lens extraction in such patients.
CaderaWPachtmanMAFountainJA, et al. Ocular lesions caused by caterpillar hairs (ophthalmia nodosa). Can J Ophthalmol1984; 19(1): 40–44.
3.
SenguptaSReddyPRGyatshoJ, et al. Risk factors for intraocular penetration of caterpillar hair in Ophthalmia Nodosa: a retrospective analysis. Indian J Ophthalmol2010; 58(6): 540–543.
4.
SavageNDSJGreenJCPCarleyF.Images in ophthalmia nodosa: an unusual presentation of red eye. BMJ Case Rep2018; 2018: bcr-2018-224194.
5.
Hom-ChoudhuryAKoukkoulliANorrisJH, et al. A hairy affair: tarantula setae-induced panuveitis requiring pars plana vitrectomy. Int Ophthalmol2012; 32(2): 161–163.
6.
BattistiAHolmGFagrellB, et al. Urticating hairs in arthropods: their nature and medical significance. Annu Rev Entomol2011; 56: 203–220.
7.
GundersonTHeathPGarronLK.Ophthalmia nodosa. Trans Am Ophthalmol Soc1945; 48: 151–167.
8.
TimucinOBBaykaraM.Role of Scheimpflug imaging in the diagnosis and management of keratitis caused by caterpillar seta. Oman J Ophthalmol2010; 3(3): 150–152.
9.
AgarwalMAcharyaMCMajumdarS, et al. Managing multiple caterpillar hair in the eye. Indian J Ophthalmol2017; 65(3): 248–250.
10.
BhendeMBiswasJSharmaT, et al. Ultrasound biomicroscopy in the diagnosis and management of pars planitis caused by caterpillar hairs. Am J Ophthalmol2000; 130(1): 125–126.
