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Bilateral intraocular dirofilariasis.

Gupta V, Sankaran P, MohanrajSamantaray JC, Menon V - Indian J Ophthalmol (2014)

Bottom Line: Ocular dirofilariasis mostly presents as a subconjunctival or eyelid lesion.Intraocular dirofilarial infestation is rare.To our knowledge, bilateral intraocular dirofilariasis has never been reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology Dr. Rajendra Prasad Center for Ophthalmic Sciences, New Delhi, India.

ABSTRACT
Ocular dirofilariasis mostly presents as a subconjunctival or eyelid lesion. Intraocular dirofilarial infestation is rare. We report a case of a young woman who was accidentally detected to have a live motile worm in the anterior segment in one eye and a cystic lesion on the optic disc in the other eye. To our knowledge, bilateral intraocular dirofilariasis has never been reported.

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Fundus photograph showing a small lesion over the optic disc in the left eye (a) that was confirmed on posterior segment optical coherence tomography (b)
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Figure 2: Fundus photograph showing a small lesion over the optic disc in the left eye (a) that was confirmed on posterior segment optical coherence tomography (b)

Mentions: A 38-year-old Indian woman presented to our Outpatient Department in north India with complaints of redness in her right eye since 6 months. She had no history of recent travel. On examination, the right eye had mild conjunctival congestion. Her vision was 6/6 in both eyes without glasses. Slit lamp examination revealed a live motile transparent worm in the anterior chamber of her right eye [Fig. 1]. The worm was not adherent to the cornea or iris. Cross-sectional thickness measured by ultrasound biomicroscopy was 130 microns. There was no inflammatory reaction in the anterior chamber. On dilated fundus examination of the left eye, a small lesion, approximately 1/10th of the size of optic disc was noted on the superonasal quadrant optic disc. The lesion was confirmed to be separate from the disc and contained inflammatory debris on posterior segment optical coherence tomography [Fig. 2]. No scolex was noted. Computed tomography of brain and orbits revealed no abnormality. Stool examination was normal. There was no hepatomegaly or splenomegaly. Her hemogram, including eosinophil counts was normal.


Bilateral intraocular dirofilariasis.

Gupta V, Sankaran P, MohanrajSamantaray JC, Menon V - Indian J Ophthalmol (2014)

Fundus photograph showing a small lesion over the optic disc in the left eye (a) that was confirmed on posterior segment optical coherence tomography (b)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4061683&req=5

Figure 2: Fundus photograph showing a small lesion over the optic disc in the left eye (a) that was confirmed on posterior segment optical coherence tomography (b)
Mentions: A 38-year-old Indian woman presented to our Outpatient Department in north India with complaints of redness in her right eye since 6 months. She had no history of recent travel. On examination, the right eye had mild conjunctival congestion. Her vision was 6/6 in both eyes without glasses. Slit lamp examination revealed a live motile transparent worm in the anterior chamber of her right eye [Fig. 1]. The worm was not adherent to the cornea or iris. Cross-sectional thickness measured by ultrasound biomicroscopy was 130 microns. There was no inflammatory reaction in the anterior chamber. On dilated fundus examination of the left eye, a small lesion, approximately 1/10th of the size of optic disc was noted on the superonasal quadrant optic disc. The lesion was confirmed to be separate from the disc and contained inflammatory debris on posterior segment optical coherence tomography [Fig. 2]. No scolex was noted. Computed tomography of brain and orbits revealed no abnormality. Stool examination was normal. There was no hepatomegaly or splenomegaly. Her hemogram, including eosinophil counts was normal.

Bottom Line: Ocular dirofilariasis mostly presents as a subconjunctival or eyelid lesion.Intraocular dirofilarial infestation is rare.To our knowledge, bilateral intraocular dirofilariasis has never been reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology Dr. Rajendra Prasad Center for Ophthalmic Sciences, New Delhi, India.

ABSTRACT
Ocular dirofilariasis mostly presents as a subconjunctival or eyelid lesion. Intraocular dirofilarial infestation is rare. We report a case of a young woman who was accidentally detected to have a live motile worm in the anterior segment in one eye and a cystic lesion on the optic disc in the other eye. To our knowledge, bilateral intraocular dirofilariasis has never been reported.

Show MeSH
Related in: MedlinePlus