In a rare and alarming medical case from rural India, a 35 -year -old man visited an ophthalmologist because of a blurry vision just to discover the living parasitic worm that moved in his eye.
The unusual case recently reported in the New England Journal of Medicine included gnathostoma spinigerum, a parasitic round worm, which usually occurs in cats and dogs. It is known that this nematode causes serious eye problems, including loss of sight.
The worm “moving slowly”
Doctors suspect that the worm has entered the body of a person by consuming raw or undercuffed meat and eventually reached the eye where it was detected and treated. Experts noted that the physical examination of a person’s eye showed evidence of conjunctival injection, a sign of inflammation. Fundoscopic evaluation revealed the “moving slowly” red in the back segment of the eye.
“Gnathostomiasis is obtained by ingestion of undercooked freshwater fish, poultry, snakes or frogs in regions where the disease is endemic – the first two, of which the patient consumed from rural Central India,” Medpage said today.
According to Abdhish Bhavsar, MD, clinical spokesman of the American Ophthalmological Academy and a retina specialist in the retina retina, “Gnathostomiasis is one of several parasites that can infect the eye and retina.”
“Some of these worms are larger and some of them are smaller than others and some of them are very small and can travel in the retina or subretinal space under the retina and can cause significant damage to the eye and vision or even potentially cause blindness.”
Doctors have performed Pars Plana (PPV) showcase to successfully extract the worm from the eye. “As part of light microscopy, larval non -plague with a cefalic bulb, a dense cuticle and a well -developed intestine was identified; these features were consistent with Gnathostoma spinigerum,” the doctors said.
PARS PLANA VEVILITY (PPV) is a surgical technique used to master a number of conditions affecting retina and vitreous. The procedure includes removal of the vitreous gel, clear, jelly similar to a substance that occupies the central part of the eye to obtain access to the retina and other internal structure in the rear of the eye.
(Tagstotranslate) pars plana vitrectomy
