Purpose: To report uveitis secondary to ocular penetration of caterpillar hairs (setae).
Methods: Case report. A documented attack of acute anterior uveitis was caused by initially overlooked penetration of caterpillar setae.
Results: A 66-year-old man presenting with unilateral hypertensive keratouveitis was treated with antiherpes simplex medication (along with local anti-inflammatory and cycloplegic agents) after anterior chamber paracentesis and serologic testing. Laboratory testing was negative. Resolution occurred after 5 days, and corneal clearing showed a predescemetic caterpillar seta.
Conclusion: Patient history taken in an anterior uveitis setting should include gardening habits and searching for possible exposure to insects or arachnids.
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