Dr.RITIKA AGRAWAL

Dr.Neetu Kori, Dr. SWETA SINGH, DR. MANUSHREE GAUTAM

Abstract

19 year boy came with OD foreign body sensation, redness, pain, watering ;4 days, after wiping face with a towel. Examination- conjuctival congestion, a bulbar conjunctival nodule & reduced inter-palpebral aperture. Eversion of upper palpebral conjunctiva- marked conjestion and few tiny fine hair like structures which could be caterpillar hair in the tarsal conjunctiva with round, raised hyperemic area around it. The cornea showed few abrasions with no hairs on or in it. Examination OS normal.

Conjuctival hairs were removed under Slit Lamp. On furthur exploring bulbar conjunctival nodule in OT a hair was seen embedded deep in the sclera which was removed under microscope.

Discussion- Fine, pointed caterpillar setae can migrate into the eye with globe movement and eye rubbing. Toxins within the hollow spine may exacerbate inflammatory reaction and can lead to chronic conjunctivitis, corneal scars, cataract, vitritis, macular edema. Hence prompt diagnosis and management is required.