Aghajani Amirhossein, Rajabi Mohammad Taher, Rafizadeh Seyed Mohsen, Rahmanikhah Elham, Samiee Reza, Abdol Homayuni Mohammad Reza, Zand Amin
Department of Oculo-Facial Plastic and Reconstructive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Ophthalmic Inflamm Infect. 2024 Dec 18;14(1):66. doi: 10.1186/s12348-024-00447-5.
To report a case of subconjunctival dirofilariasis presenting as an inflammatory mass-like lesion in a healthy individual.
A 20-year-old male with a recent history of wildlife exposure in a rural village presented with an inflammatory subconjunctival mass in his left eye. The lesion was surgically excised, and histopathological examination confirmed the presence of an immature nematode of Dirofilaria immitis. The patient was treated with oral ivermectin for two weeks postoperatively. After two months, the lesion had almost completely resolved, and no recurrence was observed during the 6-month follow-up.
Given the rarity of ocular dirofilariasis and its diverse presentations in different ocular and adnexal structures, prompt and complete excision followed by meticulous histopathological evaluation is crucial to guide appropriate management and achieve favorable outcomes.
报告一例在健康个体中表现为炎性肿块样病变的结膜下恶丝虫病病例。
一名20岁男性，近期有在乡村接触野生动物的经历，左眼出现炎性结膜下肿块。该病变经手术切除，组织病理学检查证实存在未成熟的犬恶丝虫线虫。患者术后接受口服伊维菌素治疗两周。两个月后，病变几乎完全消退，在6个月的随访期间未观察到复发。
鉴于眼恶丝虫病罕见且在不同眼及附属结构中有多种表现，及时完整切除并进行细致的组织病理学评估对于指导恰当治疗及取得良好预后至关重要。
