Frieling E, Fritz E, Schmidt U, Klauss V, Schütte E
Augenabteilung des Bundeswehrkrankenhauses Ulm.
Klin Monbl Augenheilkd. 1990 Apr;196(4):233-6. doi: 10.1055/s-2008-1046163.
The present paper reports on a 41-year-old patient who complained of moving shadows and impaired vision after vacations in southern Europe and central Africa. On ophthalmoscopic examination the cause was found to be an extremely agile worm, whitish, as thin as an end-artery, and approx. 6 mm long, in front of the macula and later in the vitreous. Following treatment with Hetrazan (diethylcarbamazine) and Mintizol (thiabendazole) the worm could no longer be detected. On the basis of morphologic and chemical studies normal helminth worms were ruled out, as were human filariae. It may be assumed with reasonable confidence that the worm observed was an animal parasite of the genus Dirofilaria.
本文报道了一名41岁的患者，该患者在南欧和中非度假后出现移动阴影和视力受损的症状。眼科检查发现病因是一条极其活跃的蠕虫，呈白色，细如终末动脉，长约6毫米，位于黄斑前方，随后进入玻璃体。用海群生（乙胺嗪）和敏乐啶（噻苯达唑）治疗后，蠕虫不再被检测到。根据形态学和化学研究，排除了正常的蠕虫以及人体丝虫。可以相当有把握地推测，观察到的蠕虫是恶丝虫属的动物寄生虫。
