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Intraocular gnathostomiasis: A rare case report from Central India
Preeti Rawat, Manushree Gautam, Nikhila C Jain1
1Department of Ophthalmology, Mahatma Gandhi Memorial Medical College, Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India.
Indian Journal of Ophthalmology
|May 6, 2016
Summary
This is the first reported case of intraocular gnathostomiasis in Central India. A live worm was successfully removed from a patient's eye, confirming the rare parasitic infection.
Area of Science:
- Ophthalmology
- Parasitology
- Infectious Diseases
Background:
- Gnathostomiasis is a parasitic infection caused by Gnathostoma species.
- Intraocular involvement is a rare manifestation of this disease.
- This report details the first case from Central India.
Observation:
- A 29-year-old male presented with a month of right eye pain and redness.
- Slit lamp examination revealed anterior uveitis, iris atrophy, and a live worm attached to the iris.
- The worm was surgically removed via a sclerocorneal tunnel.
Findings:
- Microscopic examination confirmed the presence of Gnathostoma spinigerum.
- The patient received treatment with oral albendazole and corticosteroids.
- Successful removal of the parasite and medical management led to recovery.
Implications:
- This case highlights the importance of considering rare parasitic infections in ophthalmology.
- Early diagnosis and surgical intervention are crucial for managing intraocular gnathostomiasis.
- Further awareness and diagnostic capabilities are needed in endemic regions.
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