PDF(Pubmed)
Abstract：
Caterpillars can damage human health, including visual acuity, as a result of penetration of the setae into the eye or their layout on the eye tissue. However, the path of setae movement in the eye remains unclear. In this study, a 43-year-old woman was injured in the left eye by a caterpillar. Other than rubbing her eye, the patient did not attempt any type of treatment, and she visited our outpatient clinic 5 days after the accident. The patient\'s left eyelid was markedly swollen, with a visual acuity of 1.0 in the right eye and only 0.04 in the left eye. Images of the setae in the eye were taken using an oil lens microscope, which showed clearly their detailed characteristics. The setae were removed from the eye as much as possible. Topical eyedrops and oral steroids were used to reduce the inflammation. Vitritis and retinitis occurred at the 6-month follow-up and was classified as ophthalmia nodosa by the ophthalmologist. Before we did our study, some ophthalmologists believed that setae moved forward; however, we found that setae in the eye moved in a disorderly fashion. We also note that all setae should be removed. This case demonstrates that caterpillar setae in the eye move in a disorderly fashion and eventually caused ophthalmia nodosa.
摘要：
毛毛虫会损害人类健康，包括视力,由于刚毛渗透到眼睛中或它们在眼睛组织上的布局。然而,在眼睛中刚毛运动的路径仍不清楚。在这项研究中,一名43岁的妇女的左眼被毛毛虫打伤。除了揉眼睛，患者没有尝试任何类型的治疗，她在事故发生5天后去了我们的门诊。病人的左眼睑明显肿胀，右眼视力为1.0，左眼视力仅为0.04。使用油透镜显微镜拍摄眼睛中刚毛的图像，清楚地显示了它们的详细特征。将刚毛尽可能地从眼睛上移除。使用局部滴眼液和口服类固醇来减少炎症。在6个月的随访中发生了玻璃体炎和视网膜炎，并被眼科医生归类为结节性眼炎。在我们做研究之前,一些眼科医生认为刚毛向前移动；然而，我们发现眼睛中的刚毛以无序的方式移动。我们还注意到，所有的刚毛都应该被删除。这种情况表明，毛虫在眼睛中以无序的方式移动，并最终导致结节性眼炎。
