Year-end Sale % OFF 
Abstract
BackgroundLive intraocular nematode is a rare occurrence. Nematode can migrate actively within the eye, creating visual symptoms and damaging ocular tissue.Case presentationA 26-year old man presented with painless reduced vision of the left eye for one week duration. It was associated with floaters. Visual acuity on the left eye was hand movement. Anterior segment examination was normal with normal intra-ocular pressure. Fundus examination showed a live nematode lying subretinally at the macular area with macular oedema and multifocal chorioretinal lesions at peripheral retina. There was no vitritis, vasculitis or any retinal hemorrhage. Systemic examination revealed normal findings and laboratory studies only showed leucocytosis with normal eosinophil count and negative serum toxocara antibody. The diagnosis of introcular nematode with diffuse unilateral subacute neuroretinitis was made. He was treated with oral anti-helminths and a course of oral steroid at a reducing dose. The nematode had died evidenced by its immobility during the treatment and finally disintegrated, leaving macular oedema with mottling appearance and mild hyperpigmentation. Multifocal chorioretinal lesions had also resolved. However despite treatment his visual acuity during follow-up had remained poor.ConclusionsCases of intraocular nematode, though not commonly encountered, continue to present the ophthalmologist with the problem of diagnosis and management and hence poorer prognosis to the patient.
Highlights
Live intraocular nematode is a rare occurrence and most reports were from India [1-3]
Inflammation and degeneration of the posterior retina related to subretinal migration of nematode is described as diffuse unilateral subacute neuroretinitis [5] and usually results in severe loss of vision [5,6]
Case Presentation A 26-year old man from the outskirt of Kota Bharu in Kelantan presented with sudden onset of reduced vision
Summary
Live intraocular nematode is a rare occurrence and most reports were from India [1-3]. Inflammation and degeneration of the posterior retina related to subretinal migration of nematode is described as diffuse unilateral subacute neuroretinitis [5] and usually results in severe loss of vision [5,6]. His visual acuity was hand movement on the left eye with presence of relative afferent pupillary defect and 6/ 6 on the right eye. Blood for serum toxocara antibody was negative He was diagnosed to have intraocular nematode with diffuse unilateral subacute neuroretinitis. The patient was discharged after one week with oral prednisolone of 25 mg/day Upon discharge, his left eye visual acuity remains the same with no vitritis and resolved chorioretinal lesions
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
