Clinical profile and outcomes of ophthalmia nodosa in South India: A retrospective study

Abstract

Aim: The aim of the study was to report the clinical presentation, course, and final outcomes of ophthalmia nodosa and create awareness among general ophthalmologists regarding the disease. Materials and Methods: A retrospective analysis of the cases of ophthalmia nodosa was carried out from January 2018 to December 2018. Ninety-eight eyes were included in the study. Results: Patients presented with redness (76.53%), foreign-body sensation (61.91%), pain (48.98%), lacrimation (28.57%), and photophobia (7.14%). Hairs were found in the conjunctiva in 63.26%, cornea in 39.80%, anterior chamber in 4.08%, lens in 3.06%, and vitreous in 8.16%. Patients with anterior segment involvement responded well to treatment, which included caterpillar hair removal, topical steroids, and cycloplegics. Patients with retinal exudates responded to therapy which included systemic antibiotics and steroids. Multiple sittings of hair removal were required in 38.78% of patients. Follow-up of the patients ranged from a minimum of 30 days to a maximum of 180 days. Conclusion: Ophthalmia nodosa is a relatively common condition in this part of the world. It has a good outcome when timely diagnosed and appropriately managed.

Keywords

• caterpillar hair
• inflammation
• ophthalmia nodosa