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Case Report
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| Live Ascaris in anterior chamber causing hypertensive uveitis | ||||||
| Anadi Khatri1, Bal Kumar Khatri2 | ||||||
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13rd Year Resident, MD Ophthalmology, Department Of Ophthalmology, B.P. KLCOS , Institute of Medicine, Kathmandu, Nepal
2Senior Consultant, Ophthalmologist, Senior Consultant, Birat eye Hospital, Biratnagar, Nepal | ||||||
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| How to cite this article |
| Khatri A, Khatri BK. Live Ascaris in anterior chamber causing hypertensive uveitis. Int J Case Rep Images 2017;8(6):390–393. |
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ABSTRACT
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Introduction:
Human ocular parasitosis is common in the parts of the world-especially in the developing and the underdeveloped nations where there is poor knowledge regarding hygiene and the devastating consequences that may arise due to its disregard. Case Report: Herein, we describe a 42-year-old male presenting with decreased vision with painful red eye since five days. Best corrected Visual Acuity (BCVA) was 1/60 and 6/6. The right eye was congested; hypopyon and vitreous exudates present. Single live freely motile worm noted in anterior chamber. Flat retina with hyperechoic vitreous shadows observed in ocular ultrasonography. Intraocular pressure was 38 and 17 mmHg. No relevant systemic association identified. Surgical retrieval of live worm was achieved via corneal incision. The worm was identified as adult male Ascaris lumbricoides (26x2 mm) by parasitologist. Blood eosinophil count was raised and adult worms and ova of Ascaris lumbricoides was also seen in the stool. The eye was treated with topical steroid, antiglaucoma and cycloplegic agents supplemented by oral anthelmintic and corticosteroid (1 mg/kg). Visual recovery was achieved. Conclusion: In patients presenting early with intraocular parasite, surgical removal of the live adult worm along with oral steroids is recommended to treat and preserve vision. Keywords: Ascaris, Parasite, Uveitis, Viscoexpression |
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Author Contributions
Anadi Khatri – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Bal Kumar Khatri – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Anadi Khatri et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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