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Related Experiment Video

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Intravitreal Injections in the Ovine Eye
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Ocular leech infestation.

Yueh-Chang Lee1, Cheng-Jen Chiu1

  • 1Department of Ophthalmology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC.

Clinical Ophthalmology (Auckland, N.Z.)
|March 19, 2015
PubMed
Summary
This summary is machine-generated.

A toddler experienced ocular leech infestation after playing in a stream. Prompt removal of the leech under microscopy resolved symptoms, with no lasting eye damage observed.

Keywords:
conjunctival reactionleechocular foreign bodypediatric ophthalmology

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Area of Science:

  • Ophthalmology
  • Parasitology
  • Pediatrics

Background:

  • Ocular infestations are rare but can cause significant discomfort and potential vision impairment.
  • Leech bites, particularly in pediatric patients, require prompt diagnosis and management to prevent complications.

Observation:

  • A 2-year-old girl presented with eye irritation and crying after water exposure.
  • Slit-lamp examination revealed a 1 cm leech attached to the conjunctiva of the right eye.
  • The leech was successfully removed under microscopic visualization after topical anesthesia.

Findings:

  • The ocular leech infestation was completely resolved following surgical extraction.
  • Post-extraction treatment included topical antibiotics and corticosteroids.
  • One week follow-up showed resolution of symptoms with only a minor subconjunctival hemorrhage, and no corneal or scleral involvement.

Implications:

  • This case highlights the importance of considering parasitic infections in pediatric eye complaints, especially after water exposure.
  • Early diagnosis and intervention are crucial to prevent long-term ocular morbidity from leech infestations.
  • Ophthalmologists and pediatricians should be aware of the clinical presentation and management of ocular leech cases.