J Korean Ophthalmol Soc > Volume 59(2); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(2):181-184.
DOI: https://doi.org/10.3341/jkos.2018.59.2.181    Published online February 15, 2018.
A Case of Thelazia callipaeda Infestation with Preseptal Cellulitis.
Dong Hyun Lee, Sung Hee Park, Hak Sun Yu, Ji Eun Lee
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. Jiel75@hanmail.net
2Department of Parasitology, Pusan National University School of Medicine, Yangsan, Korea.
3Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
안와격막앞연조직염을 동반한 동양안충 감염 1예
부산대학교 의학전문대학원 양산부산대학교병원 안과학교실1, 부산대학교 의학전문대학원 기생충학교실2, 부산대학교 의학전문대학원 양산부산대학교병원 의생명융합연구소3
Correspondence:  Ji Eun Lee,
Email: Jiel75@hanmail.net
Received: 2 November 2017   • Revised: 3 December 2017   • Accepted: 22 January 2018
To report a case of Thelazia callipaeda infection with preseptal cellulitis. CASE SUMMARY: A 24-year-old female presented with symptoms of conjunctival injection and ocular pain in her left eye and a parasite was found in her conjunctival sac. Using light microscopy, we identified Thelazia callipaeda and many larvae were observed in the vulva of an adult female worm. Three days later, erythematous swelling occurred in the left upper eyelid and four adult worms were found and removed with forceps. Third-generation cephalosporin and nonsteroidal anti-inflammatory drugs were administered orally; the eyelid swelling improved but the conjunctival injection remained. Later five and seven adult worms were removed every 4 weeks and the conjunctival injection improved with no parasites detected after the final extraction. CONCLUSIONS: In the case of Thelazia callipaeda infection, it is necessary to identify eggs and larvae and to observe the patient for more than 1 month because of postextraction growth of the larvae. In addition, the possibility of preseptal cellulitis by Thelazia callipaeda should be considered.
Key Words: Oriental eye worm;Preseptal cellulitis;Thelazia callipaeda

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