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Rare cause of floaters: A motile live worm in vitreous cavity.


ABSTRACT: 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.

SUBMITTER: Rajan RP 

PROVIDER: S-EPMC6727692 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Rare cause of floaters: A motile live worm in vitreous cavity.

Rajan Renu P RP   Jena Soumya S   Ramachandran N Obuli NO   Kohli Piyush P  

Indian journal of ophthalmology 20190901 9


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 enc  ...[more]

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