Caterpillar hair in the eye

Description

A 12-year-old boy presented with a 5-day history of foreign body sensation, redness, pain and photophobia in the left eye (LE). The patient gave a history of playing in fields 5 days before his symptoms. He had used topical antibiotics and artificial tears without relief. At presentation, the visual acuity was 20/20 in both eyes. On slit-lamp examination, linear fine foreign bodies (caterpillar-hair) were seen buried in the superficial and deep corneal stroma. The ends of some hair were seen penetrating through the cornea into the anterior chamber (AC) (figure 1, arrow). There were 2+ cells and 1+ flare in the AC, and cells in the vitreous of LE. The left optic disc and macula were normal. Preretinal small vitreous exudates were noted in LE (figure 2, arrow). On anterior segment optical coherence tomography of the cornea, intrastromal hair could be documented (

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