Ocular Loa-Lloa Infection with Extraction of a Subconcunctival Worm
Schmack I., Fuchs H., Vargas L. G., Auffarth G. U.
Department of Ophthalmology Heidelberg
Purpose: History: A 21-year-old female from Camerun, who lived in Germany for 1½ year, complained of a foreign body sensation in her left eye since 2 weeks. Ophthalmologic and general medical history were uneventful.
Method: Findings: The patient demonstrated a mild conjunctival irritation (hyperemia, chemosis) at first consultation. Uncorrected visual acuity was 1.0 both eyes. Slit-lamp examination revealed a white, hyperactive, thin worm migrating under the conjunctiva.
Results: Transconjunctival fixation using Vicryl 7-0 of the worm after topical application of Pilocarpin (1%) and Conjuncain. Incision of the conjunctiva and removal of an adult worm (5 cm) with a conjunctival forceps by slowly opening of the node. Transfer to the department of tropical medicine - diagnosis: Loa loa Filariosis. Treatment with albendazol (2x200 mg/d) for 3 weeks. The patient denied follow-up interval and further treatment with DEC.
Conclusions: Despite Loasis is a very uncommon disease in Europe, we should think about it especially in patients with ocular irrigation who stayed in the Central or Western part of Africa.
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