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Ocular sparganosis.

B N R Subudhi1, S Dash, D Chakrabarty

  • 1Department of Ophthalmology, MKCG Medical College and Hospital, Berhampur.

Journal of the Indian Medical Association
|March 29, 2007
PubMed
Summary
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A rare case of ocular sparganosis occurred in a 50-year-old man presenting with eye irritation. A live tapeworm, Spirometra, was unexpectedly discovered and surgically removed from his conjunctiva.

Area of Science:

  • Ophthalmology
  • Parasitology
  • Infectious Diseases

Background:

  • Ocular sparganosis is a rare parasitic infection caused by tapeworm larvae (Spirometra species).
  • It typically presents with non-specific ocular symptoms, often mimicking other common eye conditions.
  • Diagnosis can be challenging due to the rarity and varied clinical presentation.

Observation:

  • A 50-year-old male presented with conjunctival irritation, foreign body sensation, and redness in his right eye.
  • Clinical examination revealed a localized conjunctival nodule with inflammation.
  • Initial investigations were unremarkable, and surgical excision was planned.

Findings:

  • During local dressing prior to surgery, a live tapeworm, approximately 20 cm long and 3 mm wide, emerged from the conjunctival nodule.

Related Experiment Videos

  • Pathological examination confirmed the parasite as Spirometra, a type of tapeworm.
  • The patient was diagnosed with ocular sparganosis.

    • Implications:

    • This case highlights the importance of considering parasitic infections in the differential diagnosis of persistent ocular inflammatory conditions.
    • Prompt identification and surgical removal are crucial for managing ocular sparganosis and preventing further complications.
    • Increased awareness among clinicians can improve early detection rates for this unusual parasitic infestation.