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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 9  |  Page : 1969

Dirofilariasis presenting as scleritis: A report of two cases


1 Department of Ophthalmology, Kasturba Medical College-Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
2 Department of Microbiology, Kasturba Medical College-Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
3 Department of Pathology, Kasturba Medical College-Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India

Date of Web Publication20-Aug-2020

Correspondence Address:
Dr. Yogish Subraya Kamath
Department of Ophthalmology, Kasturba Medical College-Manipal, Manipal Academy of Higher Education, Madhav Nagar, Manipal - 576 104, Udupi, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_697_20

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How to cite this article:
Kamath YS, Thomas L, Sarpangala S, Simha R, Khanna V, Kudva R. Dirofilariasis presenting as scleritis: A report of two cases. Indian J Ophthalmol 2020;68:1969

How to cite this URL:
Kamath YS, Thomas L, Sarpangala S, Simha R, Khanna V, Kudva R. Dirofilariasis presenting as scleritis: A report of two cases. Indian J Ophthalmol [serial online] 2020 [cited 2020 Sep 23];68:1969. Available from: http://www.ijo.in/text.asp?2020/68/9/1969/292586



Scleral involvement in ocular dirofilariasis, a mosquito-borne zoonosis, is rare.[1],[2] We report two biopsy-proven cases [Figure 1]b and [Figure 1]d from coastal Karnataka, presenting clinically as anterior-nodular and posterior scleritis, respectively.
Figure 1: (a) Congested, superiorly located, scleral nodule [Case 1]; (b) Histopathological specimen (H and E × 200) showing cut section of worm with uterus showing microfilariae and muscular lining suggestive of Dirofilaria sp. [Case 1] (c) Coiled worm migrated anteriorly to the sutenon space [Case 2] (d) Histopathological specimen (H and E × 400) depicting muscular cuticle suggestive of Dirofilaria sp. [Case 2]

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Case 1: A 13-year-old-girl presented with a congested superior scleral nodule in her left eye, [Figure 1]a preceded by severe itching of her scalp for a week. After an ultrasound biomicroscopy to ascertain depth of lesion an excision biopsy was done.

Case-2: A 55-year-old-lady, with deep-set pain in right eye and a T-sign on B-scan was started on systemic steroids after ruling out other causes. After 3 days, a coiled live worm had migrated to the superior subtenons space [Figure 1]c.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kalogeropoulos CD, Stefaniotou MI, Gorgoli KE, Papadopoulou CV, Pappa CN, Paschidis CA. Ocular dirofilariasis: A case series of 8 patients. Middle East Afr J Ophthalmol 2014;21:312-6.  Back to cited text no. 1
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2.
Sangit VA, Haldipurkar SS. Subconjunctival dirofilariasis mimicking scleritis:First report from Western India. Indian J Ophthalmol 2012;60:76-7.  Back to cited text no. 2
[PUBMED]  [Full text]  


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