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Human ocular dirofilariasis in Israel
Summary
This study reports the first cases of human ocular dirofilariasis in Israel, involving the removal of Dirofilaria conjunctivae worms from two patients' eyes. Both patients recovered fully after surgical intervention.
Area of Science:
- Ophthalmology
- Parasitology
- Infectious Diseases
Background:
- Human ocular dirofilariasis is a rare parasitic infection caused by Dirofilaria species.
- Dirofilaria conjunctivae has been implicated in previous ocular cases, primarily in Mediterranean regions.
Observation:
- Two male patients in Israel presented with ocular discomfort.
- A single female Dirofilaria (Nochtiella) conjunctivae worm was surgically removed from each patient's affected eye.
Findings:
- In one case, the worm was found dead within a subconjunctival abscess, having penetrated the sclera.
- In the second case, the worm was alive and superficially located near the inner canthus.
- Complete visual recovery was achieved in both patients following surgical worm excision under local anesthesia.
Implications:
- This report establishes human ocular dirofilariasis as a clinical entity in Israel.
- Highlights the importance of considering parasitic etiologies in ophthalmological presentations.
- Underscores the efficacy of prompt surgical management for ocular dirofilariasis.