Eyelid sparganosis.
OBJECTIVE
To report a case of sparganosis in the muscle layer of the eyelid.


METHODS
Observational case report.


METHODS
A 67-year-old man with migratory painful swelling on the eyelid that was unresponsive to medications was evaluated and treated surgically.


RESULTS
Computed tomography showed a 1.5 x 1.5-cm sized, thick-walled lesion and ultrasound biomicroscopy showed hypoechoic tubular and cystic lesions. During surgery, a white, thread-like plerocercoid, 7 cm in length was detected in the orbicularis muscle of the lower eyelid. Histopathologic examination demonstrated the characteristic feature of the sparganum larva and foreign body granulomatous reaction. Serodiagnosis by enzyme-linked immunosorbent assay was positive. Three months postoperatively, the lesion resolved completely.


CONCLUSIONS
Although rare, sparganosis should be suspected in a moving eyelid mass unresponsive to the medical treatment.
Yoon
Kyung-Chul
KC
Department of Ophthalmology, Chonnam National University Medical School, Gwang-Ju, South Korea. kcyoon@chonnam.ac.kr
Seo
Man-Seong
MS
Park
Sang-Woo
SW
Park
Yeoung-Geol
YG
D000368:Aged; D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood; D004797:Enzyme-Linked Immunosorbent Assay; D015822:Eye Infections, Parasitic / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D005141:Eyelid Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D015745:Granuloma, Foreign-Body / Q000469:parasitology* / Q000473:pathology; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000469:parasitology; D013031:Sparganosis / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D013032:Sparganum / Q000276:immunology / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000909:Antibodies, Helminth