Conrath J, Hadjadj E, Balansard B, Ridings B
Ophthalmology Department, Timone Hospital, Marseille, France.
Am J Ophthalmol. 2000 Dec;130(6):841-3. doi: 10.1016/s0002-9394(00)00641-3.
To report uveitis secondary to ocular penetration of caterpillar hairs (setae).
Case report. A documented attack of acute anterior uveitis was caused by initially overlooked penetration of caterpillar setae.
A 66-year-old man presenting with unilateral hypertensive keratouveitis was treated with antiherpes simplex medication (along with local anti-inflammatory and cycloplegic agents) after anterior chamber paracentesis and serologic testing. Laboratory testing was negative. Resolution occurred after 5 days, and corneal clearing showed a predescemetic caterpillar seta.
Patient history taken in an anterior uveitis setting should include gardening habits and searching for possible exposure to insects or arachnids.
报告毛虫毛发(刚毛)眼部穿透继发的葡萄膜炎。
病例报告。一例记录在案的急性前葡萄膜炎发作是由最初被忽视的毛虫刚毛穿透引起的。
一名66岁男性,表现为单侧高血压性角膜葡萄膜炎,在前房穿刺和血清学检测后,接受了抗单纯疱疹药物治疗(以及局部抗炎和睫状肌麻痹剂)。实验室检查为阴性。5天后病情缓解,角膜清亮显示一条前弹力层下的毛虫刚毛。
在前葡萄膜炎病例中获取的患者病史应包括园艺习惯,并寻找可能接触昆虫或蛛形纲动物的情况。