D'Hermies F, Parent de Curzon H, Mathieu L, Furia M, Campinchi R
J Fr Ophtalmol. 1985;8(6-7):471-8.
Caterpillars cause many ocular lesions by a pathogen agent coming from their coating: the hairs. These can enter into the eye ball and migrate in the ocular tissues; a secondary inflammatory reaction to the foreign body will appear. This reaction is due to the hairs themselves as foreign body, but also partly to their contents: a liquid toxin which contains proteins, lipids and other components. The morphological configuration of the hair favours its migration in the tissues. Among the different lesions observed, chorio retinopathies are not very frequent, but their clinical aspect is quite characteristic and they are easier to recognize when they are associated with intra crystalline caterpillar hairs. Two cases of chorio retinopathies had been recorded. Both had hairs inside the lens and important hyalitis. One had the very characteristic "track-shaped" scars in the eye-fundus. The other had a focal chorio retinitis above the inferior temporal artery and developed a retinal tear. Local and general corticotherapy was applied, but the effect was not adequate. Vitrectomy was performed in the two patients with a good functional result. This seems to prove that vitrectomy may be useful for the important hyalitis secondary to the intra ocular migration of caterpillar hairs.
毛虫通过其体表的病原体——毛发,导致许多眼部病变。这些毛发可进入眼球并在眼组织中游走;随后会出现针对异物的继发性炎症反应。这种反应既归因于毛发本身作为异物,也部分归因于其所含物质:一种含有蛋白质、脂质和其他成分的液体毒素。毛发的形态结构有利于其在组织中游走。在观察到的不同病变中,脉络膜视网膜病变并不常见,但其临床特征相当明显,当与晶状体内的毛虫毛发相关时更容易识别。已记录了两例脉络膜视网膜病变病例。两例患者晶状体内部均有毛发且伴有严重的玻璃体炎。其中一例在眼底有非常典型的“轨道状”瘢痕。另一例在颞下动脉上方有局灶性脉络膜视网膜炎,并出现了视网膜裂孔。对两例患者均采用了局部和全身皮质类固醇治疗,但效果不佳。对这两名患者实施了玻璃体切除术,术后功能恢复良好。这似乎证明玻璃体切除术对于毛虫毛发眼内游走继发的严重玻璃体炎可能是有用的。