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OPHTHALMIC IMAGE |
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Year : 2020 | Volume
: 68
| Issue : 9 | Page : 1969 |
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Dirofilariasis presenting as scleritis: A report of two cases
Yogish Subraya Kamath1, Linya Thomas1, Shailaja Sarpangala1, Rohit Simha1, Vinay Khanna2, Ranjini Kudva3
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 Publication | 20-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
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_697_20
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 |
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 | | |
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. [ PUBMED] [Full text] |
2. | Sangit VA, Haldipurkar SS. Subconjunctival dirofilariasis mimicking scleritis:First report from Western India. Indian J Ophthalmol 2012;60:76-7. [ PUBMED] [Full text] |
[Figure 1]
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