A WORM IN THE EYE- A CASE STUDY OF FOUR CASES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 13
Abstract
PRESENTATION OF CASE Case No. 1 A forty-five-year-old lady came to eye clinic with complaints of swelling in the outer aspect of left upper eyelid of 3 month’s duration. It was to begin with a small sized one, of about 6 mm x 6 mm size, gradually increasing in size, now the size was 1.5 cm x 1 cm., painless even on the day of presentation. She came to see the author for the first time.1,2 Swelling was firm in consistency and moving in both, vertical and horizontal directions with ease. There were no associated findings of the adnexa or within the eye. Patient was residing in a slum. She was advised about surgery aswell. After getting her consent, she was subjected to routine blood examinations, including TC, DC, ESR. The total count was 12,000 cells/cmm, DC: P 54, L30, E16. Peripheral smear showed reasonable increase in eosinophils. With these findings, she was taken to the operation table and the swelling was opened. The moment the knife opened the sac, something wriggled out immediately. Alas! It was a worm and an alive worm! The worm was caught in a sterile bottle and it exhibited swift movements showing that it is a live worm. The wound was sutured after removing the sac in total. Post-operative period was uneventful. The histopathological examination revealed the identity of the worm Dirofilaria repens.
Authors and Affiliations
Segharipuram Ranganathan Krishnamoorthy
Keywords
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- EP ID EP615905
- DOI 10.18410/jebmh/2019/230
- Views 85
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