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Subconjunctival Loa Loa worm: case report.

G Carbonez1, W Van De Sompel, T Zeyen

  • 1A.Z. Middelheim, Oogziekten, Lindendreef 1, 2020 Antwerpen.

Bulletin De La Societe Belge D'Ophtalmologie
|June 13, 2002
PubMed
Summary
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A rare case of Loa Loa worm in the eye was surgically removed from a Ghanaian man in Belgium. This finding highlights the importance of considering tropical diseases in travelers.

Area of Science:

  • Ophthalmology
  • Tropical Medicine
  • Parasitology

Background:

  • Loa Loa, a filarial nematode, causes loiasis, endemic in West and Central Africa.
  • Ocular loiasis, while rare, can occur in individuals returning from endemic regions.
  • Subconjunctival worm presence is an uncommon manifestation of Loa Loa infection.

Observation:

  • A 38-year-old Ghanaian man presented with a foreign body sensation in his right eye.
  • Slit-lamp examination revealed a 3.5 cm transparent worm beneath the conjunctiva.
  • The worm was successfully removed surgically under topical anesthesia.

Findings:

  • Microbiological analysis confirmed the presence of Loa Loa.
  • Laboratory tests indicated negative blood eosinophilia but positive microfilariae in blood film and filarial serology.

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  • Postoperative treatment involved diethylcarbamazine.

    • Implications:

    • This case underscores the importance of considering tropical parasitic infections in ocular presentations, even in non-endemic areas.
    • It highlights the need for vigilance among healthcare providers treating patients with a history of travel to Loa Loa endemic regions.
    • Prompt diagnosis and surgical removal are crucial for managing ocular loiasis and preventing complications.