Department of Ophthalmology, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Sikkim, India.
Arch Iran Med. 2010 Sep;13(5):440-2.
A 67-year-old myopic man presented to the Ophthalmology Department of a teaching hospital in the mountainous state of Sikkim with complaints of red eye, ocular discomfort, and sensation of something moving in his right eye that led to occasional visual blurring from the previous four days. His symptoms started after washing his face in a stream. Clinical diagnosis was a leech in the limbus of the right eye at the 12 o'clock position. Ocular leech infestation should be considered in a patient with a history of swimming or face washing in streams and lakes. Herein we report a case of ocular leech infestation that presented as red eye with intermittent blurring of vision in the affected eye, and discuss the differential diagnosis and clinical significance.
一位 67 岁的近视男性，因右眼眼红、眼部不适和感觉有东西在移动，导致偶尔视力模糊，持续了四天，前往锡金邦山区的一家教学医院的眼科就诊。他的症状始于在溪流中洗脸之后。临床诊断为右眼 12 点钟位置的角膜缘有一条水蛭。对于有在溪流和湖泊中游泳或洗脸史的患者，应考虑眼部水蛭感染。本文报告了一例眼部水蛭感染的病例，表现为眼红，并伴有受影响眼间歇性视力模糊，并讨论了鉴别诊断和临床意义。
