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Anterior Chamber Live Loa loa: Case Report
G Kagmeni1, R Cheuteu2, Y Bilong2
1University Teaching Hospital Yaounde (UTHY), Yaounde, Cameroon.; Department of Eye, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaounde, Cameroon.
Clinical Medicine Insights. Case Reports
|July 22, 2016
Summary
A rare case of Loa loa filariasis occurred in a 27-year-old patient with a painful red eye. Surgical removal of the living adult worm from the anterior chamber confirmed the diagnosis.
Area of Science:
- Ophthalmology
- Parasitology
- Tropical Medicine
Background:
- Loa loa filariasis is a parasitic disease transmitted by flies, typically affecting subcutaneous and ocular tissues.
- Intraocular involvement, particularly with a live adult worm in the anterior chamber, is exceptionally rare.
Observation:
- A 27-year-old patient presented with acute painful red eye symptoms.
- Biomicroscopy revealed a mobile, adult Loa loa worm within the anterior chamber of the right eye.
Findings:
- The adult Loa loa worm was successfully surgically extracted under local anesthesia.
- Post-extraction parasitological analysis confirmed the species as Loa loa, establishing the diagnosis of ocular filariasis.
Implications:
- This case highlights the importance of considering rare parasitic infections in ophthalmology, even in non-endemic areas.
- Early diagnosis and surgical intervention are crucial for managing intraocular Loa loa to prevent vision loss.
- Further research into the prevalence and clinical manifestations of ocular filariasis is warranted.
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