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Iritis and angle closure glaucoma caused by caterpillar hairs

Blasetti, Francesco and Tarallo, S. and Dore, Stefano and Pinna, Antonio <1963- > (2012) Iritis and angle closure glaucoma caused by caterpillar hairs. Acta Ophthalmologica, Vol. 90 (Suppl. s249). eISSN 1755-3768. Article.

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DOI: 10.1111/j.1755-3768.2012.F100.x

Abstract

Purpose To report on a child presenting with iritis and angle closure glaucoma caused by caterpillar hairs.
Methods A 12-year-old girl complained of sudden pain and visual loss in her left eye while she was playing in a pinewood. Two hours later, she developed maculo-papular rash on her limbs. On examination, left visual acuity was 1/10. The affected eye showed conjunctival hyperemia, corneal edema, anterior chamber flare (4+ cells). Corneal staining with fluorescein disclosed diffuse superficial punctate keratopathy. Left IOP was 55 mm Hg. Visante OCT of the affected eye showed a thin, translucent, linear foreign body into the cornea and anterior chamber up to the irido-corneal angle. Topical steroids, antibiotics, cycloplegics, hypotensive eyedrops, and intravenous mannitol were given.
Results Inspection of the place where the girl was playing revealed the presence of numerous processionary pine caterpillars. On the basis of this finding and the clinical data, a diagnosis of iritis and angle closure glaucoma caused by caterpillar hairs was made. After 3 days’ treatment, corneal edema and anterior chamber inflammation resolved, IOP returned to normal, and visual acuity was 10/10 again. However, a small iris cyst was still visible on OCT scans.
Conclusion Ocular lesions caused by caterpillar hairs are uncommon. Ophthalmologists should be aware that intense iritis with angle closure glaucoma may be the result of the penetration of caterpillar hairs into the eye. OCT scans may be important to confirm the diagnosis.

Item Type:Article
ID Code:8090
Status:Published
Refereed:Yes
Uncontrolled Keywords:Iritis, glaucoma, caterpillar hairs
Subjects:Area 06 - Scienze mediche > MED/30 Malattie apparato visivo
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Publisher:Blackwell / Wiley
eISSN:1755-3768
Deposited On:24 Oct 2012 11:17

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