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Ocular leech infestation.

Lee YC, Chiu CJ - Clin Ophthalmol (2015)

Bottom Line: Upon examination, the girl had good fix and follow in either eye.The patient began using topical antibiotic and corticosteroid agents.By 1 week after extraction, the patient had no obvious symptoms or signs, except for a limited subconjunctival hemorrhage, and no corneal/scleral involvement was observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC.

ABSTRACT
This case report describes a female toddler with manifestations of ocular leech infestation. A 2-year-old girl was brought to our outpatient clinic with a complaint of irritable crying after being taken to a stream in Hualien 1 day previous, where she played in the water. The parents noticed that she rubbed her right eye a lot. Upon examination, the girl had good fix and follow in either eye. Slit-lamp examination showed conjunctival injection with a moving dark black-brown foreign body partly attached in the lower conjunctiva. After applying topical anesthetics, the leech, measuring 1 cm in length, was extracted under a microscope. The patient began using topical antibiotic and corticosteroid agents. By 1 week after extraction, the patient had no obvious symptoms or signs, except for a limited subconjunctival hemorrhage, and no corneal/scleral involvement was observed.

No MeSH data available.


Related in: MedlinePlus

Sketch of the leech attached to the lower conjunctiva.
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f1-opth-9-419: Sketch of the leech attached to the lower conjunctiva.

Mentions: Upon examination, the girl had good fix and follow in either eye. Slit-lamp examination showed conjunctival injection with a moving dark black–brown foreign body partly attached in the lower conjunctiva near the limbus, resembling uveal prolapse. The dark black–brown foreign body was partially movable, with tail hanging. It was then identified as a live leech grasping the bulbar conjunctiva (Figure 1). After applying topical anesthetics, the leech was extracted under microscope with forceps, and it measured 1 cm in length (Figure 2). The patient began using topical antibiotic and corticosteroid agents afterward.


Ocular leech infestation.

Lee YC, Chiu CJ - Clin Ophthalmol (2015)

Sketch of the leech attached to the lower conjunctiva.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4356445&req=5

f1-opth-9-419: Sketch of the leech attached to the lower conjunctiva.
Mentions: Upon examination, the girl had good fix and follow in either eye. Slit-lamp examination showed conjunctival injection with a moving dark black–brown foreign body partly attached in the lower conjunctiva near the limbus, resembling uveal prolapse. The dark black–brown foreign body was partially movable, with tail hanging. It was then identified as a live leech grasping the bulbar conjunctiva (Figure 1). After applying topical anesthetics, the leech was extracted under microscope with forceps, and it measured 1 cm in length (Figure 2). The patient began using topical antibiotic and corticosteroid agents afterward.

Bottom Line: Upon examination, the girl had good fix and follow in either eye.The patient began using topical antibiotic and corticosteroid agents.By 1 week after extraction, the patient had no obvious symptoms or signs, except for a limited subconjunctival hemorrhage, and no corneal/scleral involvement was observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC.

ABSTRACT
This case report describes a female toddler with manifestations of ocular leech infestation. A 2-year-old girl was brought to our outpatient clinic with a complaint of irritable crying after being taken to a stream in Hualien 1 day previous, where she played in the water. The parents noticed that she rubbed her right eye a lot. Upon examination, the girl had good fix and follow in either eye. Slit-lamp examination showed conjunctival injection with a moving dark black-brown foreign body partly attached in the lower conjunctiva. After applying topical anesthetics, the leech, measuring 1 cm in length, was extracted under a microscope. The patient began using topical antibiotic and corticosteroid agents. By 1 week after extraction, the patient had no obvious symptoms or signs, except for a limited subconjunctival hemorrhage, and no corneal/scleral involvement was observed.

No MeSH data available.


Related in: MedlinePlus