To present the diagnostic and therapeutic challenges of ophthalmia nodosa secondary to tarantula hairs. [ncbi.nlm.nih.gov]

1 Images in ophthalmia nodosa: an unusual presentation of red eye. ( 29523620 ) 2018 2 Unique presentation of Ophthalmia Nodosa in an adult male patient with a novel management approach. ( 27843192 ) Shankar S....Sati A. 2016 3 A Hairy Affair: Ophthalmia [malacards.org]

Rare presentation of ophthalmia nodosa. [meajo.org]

Our case also presented with intense lacrimation and photophobia. A history of exposure to, but no direct handling of the caterpillars also was present in our patient. Possibly, the mode of hair entry here was airborne. [healio.com]

• Malaise

  They include itching, typically followed by the development of rash (hives); in severe reactions there may be symptoms of malaise and mild fever. [fao.org]

  These complaints include headache, dizziness, restlessness, nausea and vomiting, malaise, swollen or tender lymph nodes, muscle spasms, rapid heart rate, and, in exceptional cases, altered mental status. [misc.medscape.com]

• Localized Pain

  Following caterpillar stings, local findings, including pain, may persist for several days. Systemic symptoms usually resolve in 24 hours. [misc.medscape.com]

• Fatigue

  Schwellenwert-Fluktuationen und Ermüdungseffekt bei der automatisierten statischen Perimetrie mit dem Octopus 201 Fluctuations of Differential Light Sensitivity Threshold and Fatigue Effect in Automated Static Perimetry Full Text HTML PDF (27 kb) 503 [thieme-connect.com]

• Photophobia

  The right eye showed mild bulbar conjunctival hypereamia, watering, and intense photophobia. [healio.com]

  RESULTS: Patients presented with foreign body sensation (94%), photophobia (88%), lacrimation (82%), redness (94%), and eyelid edema (82%). Hairs were found in the conjunctiva (89.6%), cornea (65.5%), and even anterior chamber (3.4%). [ncbi.nlm.nih.gov]

  The patient complains of itching, burning, lacrimation and photophobia. All of these symptoms are aggravated by rubbing of the eyelids. There may be swelling of the lids, pericorneal injection and edema. [jamanetwork.com]

  A visual acuity test with a Snellen eye chart shows 20/20 vision in the left eye and 20/50 in the right, secondary to pain, photophobia, and excessive tearing. The patient’s right sclera is significantly injected. [mdedge.com]

• Foreign Body Sensation

  RESULTS: Patients presented with foreign body sensation (94%), photophobia (88%), lacrimation (82%), redness (94%), and eyelid edema (82%). Hairs were found in the conjunctiva (89.6%), cornea (65.5%), and even anterior chamber (3.4%). [ncbi.nlm.nih.gov]

  He was referred to us after 15 days of follow-up by a local ophthalmologist because of persistent conjunctival injection and foreign body sensation. His chief complaint was foreign body sensation. Visual acuity was 20/20 in the affected eye. [ojoonline.org]

  She immediately developed foreign body sensation and injection of the right eye but was unable to leave the rainforest for four days. [aao.org]

  At first glance, a slit-lamp exam shows no obvious signs of a foreign body. [mdedge.com]

• Lacrimation

  RESULTS: Patients presented with foreign body sensation (94%), photophobia (88%), lacrimation (82%), redness (94%), and eyelid edema (82%). Hairs were found in the conjunctiva (89.6%), cornea (65.5%), and even anterior chamber (3.4%). [ncbi.nlm.nih.gov]

  The patient complains of itching, burning, lacrimation and photophobia. All of these symptoms are aggravated by rubbing of the eyelids. There may be swelling of the lids, pericorneal injection and edema. [jamanetwork.com]

  Our case also presented with intense lacrimation and photophobia. A history of exposure to, but no direct handling of the caterpillars also was present in our patient. Possibly, the mode of hair entry here was airborne. [healio.com]

  On the left side the lids were oedematous and she had photophobia, lacrimation and blepharospasm in addition to pricking sensation. [ijo.in]

• Corneal Edema

  […] eye H18221Idiopathic corneal edema, right eye H18222Idiopathic corneal edema, left eye H18223Idiopathic corneal edema, bilateral H18229Idiopathic corneal edema, unspecified eye H18231Secondary corneal edema, right eye H18232Secondary corneal edema, left [cms.gov]

  There was localized corneal edema with spiral-shaped keratitis just inferior to the foreign body (Fig 1). Examination of the upper palpebral conjunctiva showed numerous pinkish, firm nodules with multiple fine hairs deeply embedded in them (Fig 2). [healio.com]

  However, it is very difficult to remove the hair in all instances due to their extreme friability, accompanying corneal edema, surrounding infiltration, and deep lying hair. [ijo.in]

• Excessive Tearing

  A visual acuity test with a Snellen eye chart shows 20/20 vision in the left eye and 20/50 in the right, secondary to pain, photophobia, and excessive tearing. The patient’s right sclera is significantly injected. [mdedge.com]

• Kidney Failure

  Ghent Lonomia caterpillars (L. achelous and L. obliqua) can affect the blood’s ability to clot and cause brain haemorrhage and acute kidney failure. [fao.org]

Some authors advocate conservative treatment, as steroids can taper the inflammation despite the intracorneal retention of the hairs.6 Disappearance of the engulfed hairs by 10 months after a 3-month treatment with steroids has been reported.3 Others, [healio.com]

Beginning with basic science, examination techniques and epidemiology, the following chapters discuss the diagnosis and the medical and surgical treatment of numerous different conditions and diseases that may affect the cornea. [books.google.de]

Beginning with the basic principles of the disease, its diagnosis and management, the following sections discuss the treatment of numerous different infectious, non infectious, masquerade and autoimmune syndromes. [books.google.com]

The prognosis is relatively good even with intraocular penetration of the hair. Despite the grave range of possibilities in the manifestations, the outcome in most of the cases is satisfactory, if diagnosed early and treated appropriately. [ijo.in]

References Prognosis The prognosis is generally excellent. Occasional case reports of death from erucism exist, but death is very rare following stings by most species. [misc.medscape.com]

Prognosis Ophthalmia nodosa is a benign disease entity. With timely diagnosis and appropriate treatment, patients usually recover completely within 3 weeks. [eyewiki.org]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Mots-clé Cat-Scratch Disease/*complications Conjunctivitis/*etiology/pathology Endophthalmitis/*etiology/pathology Eye Foreign Bodies/complications Hair Humans Insects Lymphadenitis/*etiology Male Middle Aged Syndrome Création de la notice 28/01/2008 [serval.unil.ch]

BASED ON ETIOLOGY CONJUNCTIVITIS INFECTIOUS NON INFECTIOUS 34. [de.slideshare.net]

Beginning with basic science, examination techniques and epidemiology, the following chapters discuss the diagnosis and the medical and surgical treatment of numerous different conditions and diseases that may affect the cornea. [books.google.de]

The evolving global epidemiology, syndromic classification, management, and prevention of caterpillar envenoming. American Journal of Tropical Medicine and Hygiene, 72(3): 347–357. Evans, R.E. & Summers, R.J. 1986. [fao.org]

References Epidemiology Frequency United States Although no accurate information is available, epidemics of erucism and lepidopterism have been reported. [misc.medscape.com]

References Pathophysiology Human disease from caterpillars or moths usually arises from direct contact, exposure to substances or animals that have been infested with caterpillars or their webs, or contact with airborne caterpillar debris. [misc.medscape.com]

Children who keep tarantulas as pets should be instructed on safe handling to prevent the tarantula from adopting defence mechanisms and shedding their hairs. [nzma.org.nz]

He also holds the very prestigious Jules and Doris Stein Professorship from Research to Prevent Blindness. [ophth.wisc.edu]

The information presented here is not intended to diagnose, treat, cure or prevent any disease. Read disclaimer. [gulfdoctor.net]

Primary prevention Prevention of Ophthalmia nodosa can be achieved by wearing protective equipment, as well as providing proper education to high risk occupational groups, such as workers in caterpillar-feeding parasite breeding farms. [eyewiki.org]