Arvanitis P G, Vakalis N C, Damanakis A G, Theodossiadis G P
Department of Ophthalmology, Medical School of Athens University, Greece.
Am J Ophthalmol. 1997 May;123(5):689-91. doi: 10.1016/s0002-9394(14)71083-9.
To report a rare case of ophthalmic dirofilariasis in a 68-year-old man with sudden, intense pain and itching in the left eye. The nematode was located in the eye and recognized as Dirofilaria repens.
Slit-lamp examination disclosed a moving nematelminth under the bulbar conjunctiva of the left eye. The nematode was surgically removed.
The nematelminth surgically removed from the subconjunctival space was identified as D repens on the basis of transverse sections and its macroscopic characteristics.
It is important to identify the nematode as D repens, based on both its microscopic and macroscopic characteristics, to avoid treatment with anthelminthic agents. The surgical removal of the worm is the sole recommended treatment.
报告一例罕见的眼丝虫病病例,患者为一名68岁男性,左眼突发剧痛和瘙痒。线虫位于眼内,经鉴定为匐行恶丝虫。
裂隙灯检查发现左眼球结膜下有一条活动的线虫。通过手术将线虫取出。
根据横切面及其宏观特征,从结膜下间隙手术取出的线虫被鉴定为匐行恶丝虫。
根据线虫的微观和宏观特征将其鉴定为匐行恶丝虫很重要,以避免使用驱虫剂治疗。手术取出虫体是唯一推荐的治疗方法。