Vitreo-Retinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Indian J Ophthalmol. 2019 Sep;67(9):1490-1492. doi: 10.4103/ijo.IJO_79_19.
Ocular filariasis commonly presents as subconjunctival or eyelid nodules. We report a rare case of a live, motile worm causing floaters. The worm was isolated from the vitreous cavity and revealed to be Dirofilaria repens. Correct recognition of the worm is necessary as human dirofilariasis does not present as microfilaremia and does not require systemic therapy; in contrast to other causes of ocular filariasis, which require systemic therapy. As ophthalmologist may be the first physician to encounter such patients, a high index of suspicion is required for timely and adequate management.
眼丝虫病通常表现为结膜下或眼睑结节。我们报告了一例罕见的由活体、能动的虫体引起的飞蚊症病例。该虫体从玻璃体腔中分离出来，被鉴定为犬恶丝虫。正确识别该虫体非常重要，因为人犬恶丝虫病不会出现微丝蚴血症，也不需要全身治疗；与其他眼部丝虫病的病因不同，后者需要全身治疗。由于眼科医生可能是最先遇到此类患者的医生，因此需要高度怀疑，以便及时进行充分的治疗。
