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| LETTER TO EDITOR |
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| Year : 1991 | Volume
: 39
| Issue : 3 | Page : 147-148 |
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Microfilarial endophthalmitis
JL Goyal, Renuka Srinivasan, VA Rao, C Ratnakar
Department of Ophthalmology & Pathology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry - 605006, India
Correspondence Address:
J L Goyal
Department of Ophthalmology & Pathology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry - 605006
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 1841895 
How to cite this article:
Goyal J L, Srinivasan R, Rao V A, Ratnakar C. Microfilarial endophthalmitis. Indian J Ophthalmol 1991;39:147-8 |
With reference to the article entitled "Live male adult W. Bancrofti in the anterior chamber" by Dr. Das and Arora' and the subsequent letter to the editor by Dr. AN Madan Gopal [2], we wish to report a shoat communication on a fifteen year old girl who presented to us wit endophthalmitis of unknown origin in the left eye. Evis ceration was done as the eye was painful and blind. Th. eviscerated material was subjected to histopathological examination. It showed necrosis of the choroid ant areas of haemorrhages. Several microfilariae were see on histopathology, [Figure - 1]. The case is possibly the firs report of microfilaria being observed within the vitreou cavity. Microfilaria have earlier been observed only i the anterior chamber causing anterior uveitis [3],[4].This case is unique in that there was posterior segmen affection with irreversible visual loss necessitating evisceration. It is difficult to comment whether microfilaria are the cause for the severe ocular inflammation or the microfilaria from the blood escaped into the exudate during evisceration. However, it is important to note that Pondicherry being a hyperendemic area for filariasis, we have seen many patients of filariasis with bacterial endophthalmitis but microfilariae have never been observed in the eviscerated material. Their presence in the eviscerate is highly significant and possibility of endogenous microfilarial endophthalmitis cannot be ruled out in this case.
| References | |  |
| 1. | Arora Y and Das R.N. Live male adult W. Bancrofti in the anterior chamber - A case report, Ind. J. Ophthalmol. 1990 38 (2), 92-93.  |
| 2. | Madan Gopal A.V., Letter to the editor, Ind. J. Ophthalmol., 1990, 38(3), 148. |
| 3. | Chatterji K.C. Adult filaria in the anterior chamber of the human eye. J. Ind. Med. Assocn. 1954, 24, 146-147. |
| 4. | Bhagat Rao L.K.,Deodhar L.P. Parasite in the anterior chamber of the eye - A case report Ind. J. Ophthalmol 1973, 21, 34-35 |
[Figure - 1]
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