title: In vivo confocal microscopy of pine processionary caterpillar hair-induced keratitis.
abstract: OBJECTIVE
  Multimodal imaging of processionary caterpillar hair-induced keratitis with anterior segment optical coherence tomography and in vivo confocal microscopy.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 25-year-old woman presented with acute keratitis induced by multiple tiny processionary caterpillar hairs. She initially experienced severe pain and moderate vision loss, which gradually improved within a few weeks. Diagnosis was confirmed by in vivo confocal microscopy showing a pathognomonic image strictly comparable with ex vivo microscopy photography.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first case of corneal in vivo confocal imaging of a caterpillar hair with confirmation by ex vivo microscopy.
authors.affiliation: *Department of Ophthalmology, University Hospital, Saint-Etienne, France; †Corneal Graft Biology, Engineering and Imaging Laboratory, EA2521, Federative Institute of Research in Sciences and Health Engineering, Faculty of Medicine, Jean Monnet University, Saint-Etienne, France; ‡Department of Dermatology, University Hospital, Saint-Etienne, France; and §Institut Universitaire de France, Paris, France.
authors.forename: Rémy
authors.initials: R
authors.lastname: Jullienne
authors.forename: Zhiguo
authors.initials: Z
authors.lastname: He
authors.forename: Pierre
authors.initials: P
authors.lastname: Manoli
authors.forename: Damien
authors.initials: D
authors.lastname: Grivet
authors.forename: Elisa
authors.initials: E
authors.lastname: Cinotti
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Perrot
authors.forename: Bruno
authors.initials: B
authors.lastname: Labeille
authors.forename: Frédéric
authors.initials: F
authors.lastname: Cambazard
authors.forename: Philippe
authors.initials: P
authors.lastname: Gain
authors.forename: Gilles
authors.initials: G
authors.lastname: Thuret
mesh_terms: D000208:Acute Disease; D000328:Adult; D000818:Animals; D005129:Eye Foreign Bodies / Q000209:etiology*; D015807:Eye Injuries, Penetrating / Q000209:etiology*; D005260:Female; D006197:Hair; D006801:Humans; D007634:Keratitis / Q000209:etiology*; D007915:Lepidoptera; D018613:Microscopy, Confocal; D064847:Multimodal Imaging / Q000379:methods; D041623:Tomography, Optical Coherence