Abstract

Purpose: We report a case of ocular worm diagnosed clinically and treated surgically. Methods: A 68-year-old man presented to the ophthalmology clinic, complaining of redness, foreign body sensation and lacrimation in the left eye since 1 week. Slit-lamp examination disclosed a subconjunctival whitish cord like structure with movement. Presentation, clinical, surgery removal, and treatment are described. Results: At the time of surgery, an alive and still intact worm was extracted through conjunctiva incision. Conclusions: As a not yet known endemic region, we would like to emphasize the importance of this zoonosis with its ocular manifestation, knowing previously the diagnostic difficulties. From this perspective, we conclude that the incidence of ocular dirofilariasis may be much higher than that is reported in our region.

Highlights

  • A 68-year-old man presented to the ophthalmology clinic, complaining of redness, foreign body sensation and lacrimation in the left eye since 1 week

  • As a not yet known endemic region, we would like to emphasize the importance of this zoonosis with its ocular manifestation, knowing previously the diagnostic difficulties

  • We conclude that the incidence of ocular dirofilariasis may be much higher than that is reported in our region

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Summary

Introduction

Dirofilariasis is helminthic infection caused by parasites Dirofilariasis genus, Onchocercidae family, class of Nematodes [1]. It is a parasitic disease of domestic and wild animals where the natural definitive hosts are dogs and rarely cats [2]. Zootic infections in humans can be caused by accidental transition of microfiliares by Culex and Aedes mosquitoes, known as intermediate hosts [3]. The adult worm of Dirofilaria repens is the most often present, where the infective third stage larvae enter the human tissue through the mosquito bite invading a different tissue, developing and manifesting itself as subcutaneous nodules, lung diseases or ocular manifestation [1].

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