Purpose: To report a case a patient of anterior uveitis, iris neovascularization, high IOP and vasculitis in a patient with subconjunctival and intra ocular caterpillar hair.
Method: Case report.
Results: A 30-year-old man complaining of episodes of blurring of vision and colored haloes in his LE was referred for high IOP that was uncontrolled despite maximum tolerable medication in LE. He was diagnosed as a case of Posner Schlossman syndrome in view of signs of anterior uveitis. He was also noted to have retinal hemorrhages in the peripheral fundus with peripheral vasculitis and capillary non perfusion areas. He underwent an uneventful trabeculectomy. During surgery caterpillar hair were noted in his inferior conjunctiva that were removed. Later a seta was also found in the vitreous in supertemporal quadrant.
Conclusion: The case is an unusual presentation of caterpillar hair masquerading as a Posner Sclhossman syndrome.