Cobweb in the eye
Abstract
Ophthalmia nodosa (ON) is an ocular inflammatory reaction to insect hairs. Type 5 ON involves vitreoretinal structures and usually has a fulminant course requiring surgery. We report a case of 23-year-old male with an inferotemporal retinal lesion with peg-like extensions; optical coherence tomography showed hyperreflective vitreous opacities and cystoid macular edema (CME). History revealed insect contact 6 years earlier. CME resolved within 4 weeks after posterior sub-tenon triamcinolone, with vision improving from 6/12 to 6/6. This case highlights the value of multimodal imaging and detailed history in diagnosing ON and demonstrates that conservative management can achieve favorable outcomes in select cases.
Fields of Study & Subjects
Ocular Diseases and Behçet’s Syndrome
Ocular Infections and Treatments
Retinal and Optic Conditions
Publication details
- Journal / source
- Indian Journal of Ophthalmology - Case Reports
- Volume
- 6
- Issue
- 1
- Pages
- 92–96
- Publication date
- 1 January 2026
- Language
- EN