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A case of oular sparganosis in Korea.

Yang JW, Lee JH, Kang MS - Korean J Ophthalmol (2007)

Bottom Line: Her ocular findings were normal, except for a subconjunctival mass (1.5 x 1.5 mm).A parasite excised from the subconjunctival mass was identified as a sparganum, by microscopic examination after hematoxylin-eosin staining.Although rare, parasitic disease should be suspected in a palpable subconjunctival mass unresponsive to the medical treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, School of Medicine, Pusan Paik Hospital, Inje University, Jin-gu, Pusan, Korea. eyeyang@inje.ac.kr

ABSTRACT

Purpose: To present a case of ocular sparoganosis presenting as itching sensation.

Methods: A 60-year-old woman presented for removal of an itchy subconjunctival mass in her left eye. Her ocular findings were normal, except for a subconjunctival mass (1.5 x 1.5 mm).

Results: A parasite excised from the subconjunctival mass was identified as a sparganum, by microscopic examination after hematoxylin-eosin staining. The mummified parasite was identified as the plerocercoid phase of the sparganum, by microscopy.

Conclusions: Although rare, parasitic disease should be suspected in a palpable subconjunctival mass unresponsive to the medical treatment.

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Sparganum extracted from the lesion of left eye.
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Figure 2: Sparganum extracted from the lesion of left eye.

Mentions: A 60-year-old woman was admitted complaining of an itching sensation in the medial conjunctiva of the left eye, for several months. At the initial examination, her visual acuity was 20/20, and the intraocular pressure was 16 mm Hg in each eye. Slit-lamp examination showed mild lens opacity in both eyes. A 1.5×1.5 cm sized, tender and yellowish mass was detected in the nasal conjunctiva of the left eye. Despite treatment with systemic antibiotics and anti-inflammatory agents for several months at another eye clinic, the patient continued to complain of intermittent symptoms. The mass was excised under a slit lamp (Fig. 1A, Fig. 1B). On excision, a white, flat, wrinkled, thread-like worm, 11 cm in length, was found in the nasal subconjunctiva of the left eye (Fig. 2).


A case of oular sparganosis in Korea.

Yang JW, Lee JH, Kang MS - Korean J Ophthalmol (2007)

Sparganum extracted from the lesion of left eye.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629689&req=5

Figure 2: Sparganum extracted from the lesion of left eye.
Mentions: A 60-year-old woman was admitted complaining of an itching sensation in the medial conjunctiva of the left eye, for several months. At the initial examination, her visual acuity was 20/20, and the intraocular pressure was 16 mm Hg in each eye. Slit-lamp examination showed mild lens opacity in both eyes. A 1.5×1.5 cm sized, tender and yellowish mass was detected in the nasal conjunctiva of the left eye. Despite treatment with systemic antibiotics and anti-inflammatory agents for several months at another eye clinic, the patient continued to complain of intermittent symptoms. The mass was excised under a slit lamp (Fig. 1A, Fig. 1B). On excision, a white, flat, wrinkled, thread-like worm, 11 cm in length, was found in the nasal subconjunctiva of the left eye (Fig. 2).

Bottom Line: Her ocular findings were normal, except for a subconjunctival mass (1.5 x 1.5 mm).A parasite excised from the subconjunctival mass was identified as a sparganum, by microscopic examination after hematoxylin-eosin staining.Although rare, parasitic disease should be suspected in a palpable subconjunctival mass unresponsive to the medical treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, School of Medicine, Pusan Paik Hospital, Inje University, Jin-gu, Pusan, Korea. eyeyang@inje.ac.kr

ABSTRACT

Purpose: To present a case of ocular sparoganosis presenting as itching sensation.

Methods: A 60-year-old woman presented for removal of an itchy subconjunctival mass in her left eye. Her ocular findings were normal, except for a subconjunctival mass (1.5 x 1.5 mm).

Results: A parasite excised from the subconjunctival mass was identified as a sparganum, by microscopic examination after hematoxylin-eosin staining. The mummified parasite was identified as the plerocercoid phase of the sparganum, by microscopy.

Conclusions: Although rare, parasitic disease should be suspected in a palpable subconjunctival mass unresponsive to the medical treatment.

Show MeSH
Related in: MedlinePlus