Das Dipankar, Das Kalyan, Islam Saidul, Bhattacharjee Kasturi, Bhattacharjee Harsha, Das Shrutanjoy Mohan, Deka Apurba
Sri Sankaradeva Nethralaya, Beltola, India.
Department of Parasitology, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati, Assam, India.
Oman J Ophthalmol. 2015 Jan-Apr;8(1):50-3. doi: 10.4103/0974-620X.149868.
We report a rare case of anterior chamber live dirofilariasis presenting as anterior uveitis. A 60-year-old man presented with dimness of vision in the right eye for 1 month. Vision recorded was 6/18 P, N 18 in the right eye. Slit lamp examination of the right eye revealed anterior uveitis with a moving nemathelminthes. The worm was removed live from the anterior chamber under local anesthesia with assisted methyl cellulose delivery and post-operatively, the worm was examined directly under light microscope. Morphometric measurement showed length of the worm was 6.061 mm. A thin, pale, slender worm was diagnosed as immature female Dirofilaria repens and was documented completely. Patient had made an excellent recovery of vision and intraocular inflammation after the surgical removal of the worm. Intraocular infection of dirofilaria is a rare presentation and successful surgical removal of the worm resulted in complete recovery of uveitis and visual status in the affected eye.
我们报告了一例罕见的前房活丝虫病，表现为前葡萄膜炎。一名60岁男性因右眼视力模糊1个月就诊。右眼记录的视力为6/18 P，N 18。右眼裂隙灯检查显示前葡萄膜炎伴有一条活动的线虫。在局部麻醉下，通过辅助甲基纤维素输送从前房取出活虫，术后在光学显微镜下直接检查该虫。形态测量显示虫体长6.061毫米。一条细长、浅色、纤细的虫被诊断为未成熟的匐行恶丝虫雌虫，并进行了完整记录。手术取出虫后，患者视力和眼内炎症恢复良好。眼内丝虫感染是一种罕见的表现，成功手术取出虫导致患眼葡萄膜炎和视力状况完全恢复。
