Mela Mal Sood Rotary Eye Hospital, Maranda, Palampur, Himachal Pradesh, India.
Eur J Ophthalmol. 2024 Mar;34(2):NP98-NP100. doi: 10.1177/11206721231199274. Epub 2023 Aug 30.
To report a rare case of a 65 year old patient with a single caterpillar hair with localised lenticular opacity around it and no active inflammation.
A single quiescent caterpillar hair embedded in the anterior lens capsule causing localised cataract around it. There was no other sign of ocular toxicosis and the patient was unaware of the presence of this intraocular foreign body.
Caterpillar hair (also known as setae) are a common cause of ophthalmia nodosa. These setae can penetrate intraocularly with ease to cause various forms of ocular toxicosis ranging from conjunctivitis, keratitis, pars planitis, chorioretinitis to even severe vitritis warranting enucleation. As per our knowledge and experience, no case of caterpillar hair without inflammation has been reported till date. We hereby report a rare case of a 65 year old patient with a single caterpillar hair embedded in the anterior lens capsule causing localised cataract around it without any active inflammation. In our opinion, if the eye is quiescent, the patient should be kept on close and long term follow-up and active intervention can be undertaken at the first instance of inflammation or if cataract progresses.
报告一例罕见病例，患者为 65 岁老人，其眼内有一条静止的毛毛虫毛发，周围有局部晶状体混浊，但无活动性炎症。
一条静止的毛毛虫毛发嵌入前晶状体囊内，导致其周围出现局部白内障。没有其他眼部中毒的迹象，患者也不知道眼内有这个异物。
毛毛虫毛发（也称为刚毛）是眼类肉瘤病的常见病因。这些刚毛很容易穿透眼球，引起各种形式的眼部中毒，从结膜炎、角膜炎、睫状体平坦部炎、脉络膜炎到严重的玻璃体炎症，甚至需要眼球摘除。据我们所知和经验，目前尚未报道过无炎症的毛毛虫毛发病例。我们在此报告一例罕见病例，患者为 65 岁老人，一条毛毛虫毛发嵌入前晶状体囊内，导致其周围出现局部白内障，但无任何活动性炎症。我们认为，如果眼睛处于静止状态，应密切长期随访，如果出现炎症或白内障进展，可立即进行积极干预。
