Dr. KAUSTUBH BALWANT HARSHEY

, Dr.Chaitali Patel

Abstract

A 30 year old female presented with recurrent swelling in right eye (RE) since 6 months. Multiple consultations elsewhere had failed to resolve the symptoms. History of anti-helminthic therapy was reported which was given suspecting a periocular subcutaneous worm. On examination, there was a firm, mobile swelling in the lower lid that according to the patient had been static for the last 1 month. Review of old photos showed a thread like swelling at different locations in the lids at different time points. An MRI done 3 months back was normal. The patient underwent RE Excision and Removal of the worm. During surgery the swelling was noted to be a cicatrix and the incision had to be extended combined with deeper dissection. Ultimately, the worm was isolated and removed in toto. The parasitology reported the worm as being larval form of Filaria species. Parasitic infiltration of ocular tissues is an uncommon but known entity and a high index of suspicion should be followed in such cases.