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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 485-487

Highly motile intravitreal worm in epiretinal plane: Is surgical removal the only option?


1 Vitreo Retina Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India
2 Department of Vitreo Retina Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India

Correspondence Address:
Divya Yadav
Vitreo Retina Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2532_21

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A 37-year-old-man presented with the perception of wriggling movements in the left eye. The fundus revealed a highly motile nematode epiretinally. The location and plane of the movements were confirmed with optical coherence tomography (OCT), which also showed its intraretinal attachment. Multiple attempts of laser photocoagulation failed due to its incessant rapid movements in the antero-posterior axis. Immediate vitrectomy was deferred due to the risk of breakage. With combination therapies of peribulbar lignocaine and oral anti-helminthics for 2 days, a marked reduction in the motility, thickening, and swelling was noticed and it could finally be killed with laser. To the best of our knowledge, this is the first case report of a live intravitreal worm treated non-invasively.


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