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Human Ocular Thelaziasis: A Case Report from Indonesia
Liem Meysie Kristi Harlimton1, Sitti Wahyuni2, Alif Reza1
1Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Case Reports in Ophthalmology
|August 11, 2022
Summary
Human ocular thelaziasis, a rare parasitic eye infection caused by Thelazia callipaeda eyeworms, was successfully treated in Indonesia. This case highlights the importance of recognizing and surgically removing eyeworms to prevent further complications.
Area of Science:
- Veterinary Ophthalmology
- Parasitology
- Infectious Diseases
Background:
- Thelaziasis is a rare parasitic zoonotic disease caused by eyeworms of the genus Thelazia.
- The disease affects the eyes of mammals, including humans, with drosophila flies acting as vectors.
- Human ocular thelaziasis is uncommon globally and particularly in Indonesia.
Observation:
- A case of human ocular thelaziasis is reported in Indonesia.
- A live Thelazia callipaeda eyeworm was observed moving in the anterior chamber of a patient's eye.
- Documentation included clinical examination and surgical procedures.
Findings:
- Surgical removal of the Thelazia callipaeda eyeworm was performed under topical anesthesia.
- Morphological examination confirmed the species as Thelazia callipaeda.
- Post-operative treatment included oral and topical medications, with no recurrence observed during a 2-month follow-up.
Implications:
- This case underscores the potential for Thelazia eyeworm infections in humans in Indonesia.
- Prompt diagnosis and surgical intervention are crucial for managing ocular thelaziasis.
- Public health awareness and vector control may be important in endemic areas.
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