Harlimton Liem Meysie Kristi, Wahyuni Sitti, Reza Alif, Sirajuddin Junaedi, Eka Hasnah B, Islam Itzar Chaidir, Ichsan Andi Muhammad
Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Department of Parasitology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Case Rep Ophthalmol. 2022 Jun 10;13(2):446-452. doi: 10.1159/000525117. eCollection 2022 May-Aug.
Thelaziasis is a parasitic disease caused by a nematode of genus , which is rare in the world, including Indonesia. The definitive hosts for are canids, felids, mustelids, and other mammals, while the vector is drosophila flies. Consequently, this study reported an uncommon occurrence of human ocular thelaziasis in Indonesia. Based on the patient's complaints and physical examination, we found a living worm that move actively in the anterior chamber; then documentation is carried out both during the examination at the polyclinic and in the operating room. The surgery was performed using topical anaesthesia, clear corneal incision, and removing worm through the main port. Morphological examination from the parasitology laboratory showed that the worm was species. Following this intervention, the patient was given an oral anti-helminthics drug, topical and oral antibiotics, topical steroid, and surgical treatment. There was no recurrence or appearance of any other symptoms reported in 2 months of follow-up.
吸吮线虫病是由吸吮属线虫引起的一种寄生虫病,在世界范围内都很罕见,包括印度尼西亚。吸吮线虫的终末宿主是犬科动物、猫科动物、鼬科动物和其他哺乳动物,而传播媒介是果蝇。因此,本研究报告了印度尼西亚发生的一例罕见的人类眼部吸吮线虫病。根据患者的主诉和体格检查,我们发现一条活虫在前房内活跃移动;然后在门诊检查期间和手术室进行了记录。手术采用表面麻醉、透明角膜切口,并通过主切口取出虫体。寄生虫学实验室的形态学检查表明该虫为吸吮线虫属物种。经过此次干预,患者接受了口服抗蠕虫药物、局部和口服抗生素、局部类固醇药物治疗以及手术治疗。在2个月的随访中,未报告有复发或出现任何其他症状。