A rare case report of Loa loa ocular filariasis

Eur J Ophthalmol. 2010 Jan-Feb;20(1):237-9. doi: 10.1177/112067211002000137.

Abstract

Purpose: We report a case of ocular worm treated surgically and confirmed by microbiological identification.

Methods: A 33-year-old Swiss woman presented to the ophthalmic unit, complaining of pain and foreign body sensation in the left eye. Slit-lamp examination disclosed a subconjunctival amber -colored cord in the conjunctival fornix. Presentation, clinical and histopathologic evaluation, and treatment are described.

Results: At the time of surgery, an alive and still intact worm was extracted through conjunctival incision. Histopathology confirmed the presence of filariasis.

Conclusions: As the flow of immigrants from endemic areas of Europe increases, ocular manifestation of loiasis is becoming more frequent and ophthalmologists need to be aware of this diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Conjunctival Diseases / diagnosis
  • Conjunctival Diseases / parasitology*
  • Conjunctival Diseases / surgery
  • Eye Foreign Bodies / diagnosis
  • Eye Foreign Bodies / parasitology*
  • Eye Foreign Bodies / surgery
  • Eye Infections, Parasitic / diagnosis
  • Eye Infections, Parasitic / parasitology*
  • Eye Infections, Parasitic / surgery
  • Female
  • Humans
  • Loa / isolation & purification*
  • Loiasis / diagnosis
  • Loiasis / parasitology*
  • Loiasis / surgery