In Vivo Confocal Microscopy of Pine Processionary Caterpillar Hair–Induced Keratitis. Issue 3 (March 2015)

• Record Type: Journal Article
• Authors: Jullienne, Rémy; He, Zhiguo; Manoli, Pierre; Grivet, Damien; Cinotti, Elisa; Perrot, Jean Luc; Labeille, Bruno; Cambazard, Frédéric; Gain, Philippe; Thuret, Gilles
• Is Part Of: Cornea. Volume 34:Issue 3(2015)
• Publication Date: 2015-03
• Subjects: cornea -- human -- in vivo confocal microscopy -- keratitis -- caterpillar hair; Cornea -- Periodicals; Cornea -- Periodicals; Cornée -- Périodiques; 617.719
• DOI: 10.1097/ICO.0000000000000360
• Languages: English
• ISSNs: 0277-3740

Abstract

Abstract : Purpose: Multimodal imaging of processionary caterpillar hair–induced keratitis with anterior segment optical coherence tomography and in vivo confocal microscopy. Methods: Case report. Results: A 25-year-old woman presented with acute keratitis induced by multiple tiny processionary caterpillar hairs. She initially experienced severe pain and moderate vision loss, which gradually improved within a few weeks. Diagnosis was confirmed by in vivo confocal microscopy showing a pathognomonic image strictly comparable with ex vivo microscopy photography. Conclusions: To the best of our knowledge, this is the first case of corneal in vivo confocal imaging of a caterpillar hair with confirmation by ex vivo microscopy.