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Case Reports
. 1997 May;123(5):689-91.
doi: 10.1016/s0002-9394(14)71083-9.

Ophthalmic dirofilariasis

P G Arvanitis  1 , N C Vakalis, A G Damanakis, G P Theodossiadis
Affiliations
Case Reports

Ophthalmic dirofilariasis

P G Arvanitis et al. Am J Ophthalmol. 1997 May.

Abstract

Purpose: To report a rare case of ophthalmic dirofilariasis in a 68-year-old man with sudden, intense pain and itching in the left eye. The nematode was located in the eye and recognized as Dirofilaria repens.

Methods: Slit-lamp examination disclosed a moving nematelminth under the bulbar conjunctiva of the left eye. The nematode was surgically removed.

Results: The nematelminth surgically removed from the subconjunctival space was identified as D repens on the basis of transverse sections and its macroscopic characteristics.

Conclusion: It is important to identify the nematode as D repens, based on both its microscopic and macroscopic characteristics, to avoid treatment with anthelminthic agents. The surgical removal of the worm is the sole recommended treatment.

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