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Ocular filariasis.

Bibhudutta Rautaraya1, Shreekant Tiwari, Ashoka Mahapatra

  • 1Department of Microbiology, HI-TECH Medical College and Hospital, Bhubaneswar, Odisha, India.

Tropical Parasitology
|March 20, 2013
PubMed
Summary

A rare case of human ocular infestation by a live Brugia malayi adult worm is presented. Prompt identification and treatment with diethylcarbamazine led to complete recovery, highlighting the need for ophthalmologist awareness.

Keywords:
Anterior chamber filariasisBrugia malayiocular infestation

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Area of Science:

  • Ophthalmology
  • Parasitology
  • Infectious Diseases

Background:

  • Human ocular filariasis, particularly by live adult worms, is exceptionally rare.
  • Brugia malayi is a known cause of lymphatic filariasis, but ocular involvement is seldom documented.

Observation:

  • A 35-year-old female presented with chronic eye symptoms including headache, blurred vision, redness, and lacrimation.
  • Ocular examination revealed conjunctival chemosis, congestion, and a live, wriggling white worm in the anterior chamber.

Findings:

  • The adult female Brugia malayi worm was successfully removed via anterior chamber paracentesis.
  • Morphological identification and immunochromatographic testing confirmed the species as B. malayi.
  • The patient achieved complete resolution of symptoms following diethylcarbamazine treatment.

Implications:

  • This case underscores the importance of considering rare parasitic infections in ophthalmology.
  • Ophthalmologists must be vigilant for live adult worms in the anterior chamber, even in non-endemic areas for this specific presentation.
  • Accurate identification and timely antiparasitic treatment are crucial for favorable patient outcomes in ocular filariasis.