Intracameral gnathostomiasis presenting as neuroretinitis

A male patient in his 40s visited our ophthalmology outpatient department with complaints of periocular swelling, redness and decreased vision in the right eye. Initial examinations revealed anterior chamber cell 4+, vitreous cell 2+ and fibrous proliferation with haemorrhage in the superior and temporal regions around the swollen optic disc with macular oedema. Despite initial treatment, the patient showed no improvement. Subsequent slit-lamp examination revealed a nematode in the anterior chamber, prompting surgical removal and identification as Gnathostoma spinigerum This case underscores the importance of considering intraocular gnathostomiasis in patients presenting with neuroretinitis and panuveitis, particularly in endemic regions.