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Published on: March 16, 2022
[Subconjunctival dirofilariasis: a case report]
R Khechine-Martinez1, C Doucet, S Blanchard
1Service d'ophtalmologie, Hôpital Necker-Enfants malades, 149, rue de Sèvres, 75743 Paris cedex 15, France. kh.ska@laposte.net
Journal Francais D'Ophtalmologie
|September 23, 2009
Summary
Ocular dirofilariasis, a rare parasitic infection transmitted by mosquitoes, can cause orbital pain and swelling. Surgical removal of the worm is the recommended treatment for this underdiagnosed condition.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Parasitology
Background:
- Dirofilariasis is a parasitic disease typically affecting mammals, transmitted by mosquitoes.
- Ocular dirofilariasis is an uncommon manifestation of this infection, rarely documented in ophthalmic literature.
Observation:
- A case report details an 81-year-old woman in northern France presenting with left orbital pain and swelling.
- Slit lamp examination revealed a white worm beneath the superior bulbar conjunctiva.
Findings:
- Surgical excision of the subconjunctival worm provided adequate treatment and facilitated parasite identification.
- Dirofilariasis is more prevalent in Italy, with French cases often occurring in the south; ocular symptoms can range from subconjunctival to orbital involvement.
Implications:
- Ocular dirofilariasis is exceptionally rare and likely underdiagnosed, necessitating increased awareness in clinical practice.
- Surgical intervention is the primary treatment, with no need for systemic medication.
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