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There have been cases of ocular caterpillar injury requiring enucleation.1
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ACEP Now: Vol 43 – No 06 – June 2024Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina.
References
- Agarwal M, Acharya MC, Majumdar S, et al. Managing multiple caterpillar hair in the eye. Indian J Ophthalmol. 2017;65(3):248-250.
- Cadera W, Pachtman MA, Fountain JA, et al. Ocular lesions caused by caterpillar hairs (ophthalmia nodosa). Can J Ophthalmol. 1984;19(1):40-44.
- Doshi PY, Usgaonkar U, Kamat P. A hairy affair: ophthalmia nodosa due to caterpillar hairs. Ocul Immunol Inflamm. 2018;26(1):136-141.
- Gilmer PM. A comparative study of the poison apparatus of certain lepidopterous larvæ.” Ann Entomol Soc Am. 1925;18(2):203-239.
- Jullienne R, He Z, Manoli P, et al. In vivo confocal microscopy of pine processionary caterpillar hairinduced keratitis. Cornea. 2015;34(3):350-352.
- Levy S, Posa M, Kelly M, et al. Ophthalmia nodosa secondary to intraocular, white-marked tussock caterpillar setae (Orgyia leucostigma) in a 15-year-old. SAGE Open Med Case Rep. 2023;11:2050313X231172563.
- Sahay P, Bari A, Maharana PK, et al. Missed caterpillar cilia in the eye: cause for ongoing ocular inflammation. BMJ Case Rep. 2019;12(4):e230275.
- Schön J. Bieträge zur Praktische Augenheilkunde. Hamburg, Germany: Hoffman & Campe; 1861.
- Watson PG, Sevel D. Ophthalmia nodosa. Br J Ophthalmol. 1966;50(4):209-217.
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