李×男58岁农民住院号901276松毛虫落入右眼后,畏光、流泪,视物模糊3天。3天前,上山砍树枝时,一毛虫掉入右眼,自己用手击拍后,虫即落地,右眼觉异物感,视物模糊。次日,在当地医院肌注庆大霉素,症状不减轻。于1990年6月18日来诊。视力左1.5,右0.7。右眼睑轻度肿胀,球结膜混合充血、内眦结膜复盖一层白色假膜,拭去后,见34根松毛虫刺刺入巩膜。角膜内侧有虫刺31根,其中17根已部分伸入内皮层及前房内。房水清,虹膜上见17 Lee × male 58-year-old peasant hospital 901276 Dendrolimus fell into the right eye, photophobia, tearing, blurred vision 3 days. Three days ago, when cutting down a tree on a hill, a caterpillar fell into the right eye and shot it by hand. After the worm landed, the right eye felt a foreign body sensation and blurred vision. The next day, intramuscular injection of gentamicin in the local hospital, the symptoms do not reduce. June 18, 1990 visit. Visual left 1.5, right 0.7. Mild swelling of the right eyelid, conjunctival hyperemia, infiltration of the conjunctiva within a layer of white pseudomembranous, wiped away, see 34 pine needles piercing the sclera. There are 31 stings inside the cornea, of which 17 have partially extended into the inner cortex and anterior chamber. Room water clear, Iris see 17