DR. SNEHA JAIN

Dr. ASIM KUMAR GHOSH

Abstract

Ophthalmia nodosa is usually innocuous and responds to conservative management. We report a case of a young female with a history of caterpillar hair (CH) removal from anterior segment at several occasions over a period of one year from the right eye, accompanied by recurrent attacks of redness and pain. She had a similar attack with progressive dimness of vision 4 months back and was diagnosed as panuveitis with cystoid macular edema. On fundoscopy 3 linear fibrosed foreign bodies in posterior vitreous extending upto retina were noted. Despite anterior uveitis responding to 4 week steroid therapy, the patient was taken up for lens sparing vitrectomy due to persistence of vitritis and worsening of macular edema. Three CH were retrieved with excellent anatomical and functional postoperative outcomes.CH is notorious for late migration and inflammation. Regular follow-up even after removal of anterior segment hair is necessary and timely intervention can prevent endophthalmitis.

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