THE HAIRY PHOENIX

To report a case of a patient of anterior uveitis, iris neovascularization, high intraocular pressure and vasculitis in a patient with subconjunctival and intra ocular caterpillar hair.

Case report.

A 30-year-old man complaining of episodes of blurring of vision and colored haloes in his left eye was referred for high intraocular pressure that was uncontrolled despite maximum tolerable medication in the left eye. 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.

The case is an unusual presentation of caterpillar hair masquerading as a Posner-Schlossman syndrome.