Intraocular fascioliasis: a case report.
We report the case of a 28-year-old male who had been ill with headache and motor weakness for a month and developed sudden pain and blindness of the right eye. During ophthalmoscopy, a worm was recognized penetrating the iris, occupying the anterior chamber for a brief period, returning back behind the iris, and leaving corneal edema with hyphyema. Enucleation was performed to prevent the worm's escape from the eye. The enucleated eye revealed areas of a focal degeneration of sclera and intraocular hemorrhage. Microscopic findings of an abrupt tissue defect and few inflammatory reactions in the uvea suggested very recent migration of a moving worm. The flatworm detected in the anterior chamber was identified to be a juvenile Fasciola sp. This case is presumed to be the first case of intraocular fascioliasis reported in the literature.
Cho
S Y
SY
Department of Parasitology, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Yang
H N
HN
Kong
Y
Y
Kim
J C
JC
Shin
K W
KW
Koo
B S
BS
D000328:Adult; D000818:Animals; D002543:Cerebral Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging; D005123:Eye / Q000469:parasitology* / Q000473:pathology; D015353:Eye Enucleation; D015822:Eye Infections, Parasitic / Q000469:parasitology* / Q000601:surgery; D005209:Fasciola / Q000302:isolation & purification / Q000502:physiology*; D005211:Fascioliasis / Q000469:parasitology* / Q000601:surgery; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010945:Plants, Edible / Q000469:parasitology; D014057:Tomography, X-Ray Computed