Ocular Munchausen’s Syndrome induced by introduction of ant’s particles into the conjunctival fornices

Munchausen’s Syndrome is a factitious disorder in which patients manipulate physicians through misrepresented signs and symptoms. The authors describe an 18-year-old woman with self-induced inoculation of ant’s particles inside her conjunctival fornices of both eyes. The crushed particles was confirmed to be crushed ant’s particles. Munchausen Syndrome can be seen with ophthalmic manifestations and should be considered in the differential diagnoses when ocular abnormalities cannot be explained. A sympathetic and supportive approach is therefore required and these patients should be urgently referred to a psychiatrist.