Case Report: Management of Dead Intraocular Helminth Parasites in Asymptomatic Patients

We report four asymptomatic patients from Nepal with an incidental finding of a dead intraocular helminth parasite on ophthalmological routine examination. Because the patients were asymptomatic and the intraocular helminth parasites dead without noted pathology present, it was decided to abstain fr...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2020-08, Vol.103 (2), p.719-722
Main Authors: Sah, Ranjit, Khatri, Anadi, Kharel, Ranju, Kc, Hony, Rabaan, Ali A, Tiwari, Ruchi, Dhama, Kuldeep, Singh Malik, Yashpal, Donovan, Suzanne, Rodriguez-Morales, Alfonso J, Muigg, Veronika, Neumayr, Andreas
Format: Article
Language:English
Subjects:
Adult
Angiostrongylus cantonensis
Animals
Anterior Chamber
Asymptomatic
Asymptomatic Infections - therapy
Case reports
Cestode Infections - therapy
Disease Management
Eye Infections, Parasitic - therapy
Female
Humans
Incidental Findings
Male
Middle Aged
Nepal
Parasites
Spirometra
Strongylida Infections - therapy
Watchful Waiting
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Summary:We report four asymptomatic patients from Nepal with an incidental finding of a dead intraocular helminth parasite on ophthalmological routine examination. Because the patients were asymptomatic and the intraocular helminth parasites dead without noted pathology present, it was decided to abstain from surgical removal and pursue a watch-and-wait strategy. The clinical follow-up of the four patients over two years was uneventful and showed no complications. We conclude that dead intraocular helminth parasites in asymptomatic patients without apparent pathology do not require surgical removal.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.20-0218