About us |  Subscription |  Top cited articles |  e-Alerts  | Feedback |  Login   
  Home | Ahead of print | Current Issue | Archives | Search | Instructions Celebrating 60 Years   Print this article Email this article   Small font sizeDefault font sizeIncrease font size
 
 Official publication of All India Ophthalmological Society   Users Online: 76
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    [PDF Not available] *
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    Case Report
    Discussions
    Summary
    References
    Article Figures

 Article Access Statistics
    Viewed1758    
    Printed22    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal

 


 
ARTICLES
Year : 1977  |  Volume : 25  |  Issue : 4  |  Page : 46
 

Round worm (Ascaris lumbricoides) in the lacrimal passage


1 Little Flower Hospital, Angamally, Kerala, India
2 Dept of Pediatric, Little Flower Hospital, Angamally, Kerala, India

Correspondence Address:
T P Ittyerah
Little Flower Hospital, Angamally, Kerala
India
Login to access the Email id


PMID: 659007

Get Permissions

 



How to cite this article:
Ittyerah T P, Fernandez S T, Radhakrishnan V B. Round worm (Ascaris lumbricoides) in the lacrimal passage. Indian J Ophthalmol 1977;25:46

How to cite this URL:
Ittyerah T P, Fernandez S T, Radhakrishnan V B. Round worm (Ascaris lumbricoides) in the lacrimal passage. Indian J Ophthalmol [serial online] 1977 [cited 2014 Jul 23];25:46. Available from: http://www.ijo.in/text.asp?1977/25/4/46/34615


Parasitic infestation of the lacrimal sac is a rare occurance [1] . Laignier Terrasse [3] Kaplan [2] and Leite Filho and Cremonesi [4] documented cases wherein round worm was coming to conjunc­tival sac through lacrimal punctum. This report deals with an Indian girl presented with a round worm in the conjunctival sac.


   Case Report Top


An eight month old girl was brought to Little Flower Hospital, Angamally for cough, fever and abdominal pain for few days. She was admitted in the Paediatric Ward and was on treatment for respiratory tract infection. She was on Benzyl Penicillin alongwith expectorant. Chest X-ray showed pneumonitic patches.

On the second day the child vomitted a few round worms and her mother noticed a white thread-like worm in the right eye. On examination, it was found to be a round worm presenting at the upper lacrimal punctum. About one centimetre of the worm was outside the punctum in the conjunctival sac. 'There was mucopuru­lent conjunctivitis. The worm was gently removed with a pair of forceps under general anaesthesia and framycetin eye ointment (Soframycin) was applied.

It was found to be a live, fifteen centimetre long round worm with about 1 cm. circumference in the broadest part. Later the fever, pneumonia and conjunc­tivitis subsided. She was dewormed with Tetramisole (Decaris) twentyfive milligram given at night for two days and the child passed eighty round worms.


   Discussions Top


In tropical countries like India ascariasis is very common especially in children. Not infre­quently children vomit round worms and a few of them may come through the nose. In this particular case, the worm had fount, its way through nasolacrimal duct. It could come through the narrow canaliculus of a baby by moulding itself to the width of canaliculus. The upper canaliculus being more in alignment to the nasolacrimal duct the worm might have found it easier to comeout through it.


   Summary Top


A case of round worm coming into to the conjunctival sac through the upper punctum is documented in a girl of eight months old.

 
   References Top

1.Duke Elder, S., 1974, System of Ophthalmology, 13, Part II, p. 731, Henry Kimpton, London.  Back to cited text no. 1    
2.Kaplan, Freedman and Elsdon Dew, 1956, quo `ed by Duke Elder, S., 1974, System of Ophthalmology, 13, Part 11, p. 731 Henry Kimp­ton, London.  Back to cited text no. 2    
3.Laignier-Terrasse, 1932, Quo'ed by Duke Elder, S., 1974, System of Ophthalmology, 13, Part 11, p. 731, Henry Kimpton, London.  Back to cited text no. 3    
4.Leite Filho and Cremopesi, 1972, Quo'ed by Duke Elder, S., 1974, System of Ophthalmology, 13, Part II, p. 731, Henry Kimpton, London.  Back to cited text no. 4    


    Figures

  [Figure - 1]



 

Top
Print this article  Email this article
Previous article Next article

    

© 2005 - Indian Journal of Ophthalmology
Published by Medknow

Online since 1st April '05