Retina-Vitreous Service, L V Prasad Eye Institute, Bhubaneswar, India.
Eur J Ophthalmol. 2021 Mar;31(2):NP109-NP111. doi: 10.1177/1120672119858899. Epub 2019 Jul 8.
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.
Meticulous clinical examination led to discovery of the caterpillar seta embedded in the crystalline lens and the intravitreal setae.
Lens-sparing pars plana vitrectomy and removal of free-floating vitreal seta resulted in complete resolution of vitritis and uveitis.
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.
报告一例临床上被误诊为非感染性后葡萄膜炎并连续 7 年进行治疗的眼弓蛔虫病，其发病原因为眼内有遗留的晶状体纤维。
通过详细的临床检查发现了嵌入晶状体的毛毛虫状纤维以及眼内游离的纤维。
通过晶状体玻璃体切除术和清除游离的玻璃体纤维，眼内炎症完全消退。
如果在透明的晶状体中存在纤维，可能会被隐藏起来，在密切观察下不被触及，这种情况下不建议进行晶状体切除术。
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