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“Oh! I've found the way – I can create retinal detachment” - Gnathostomata spinigerum

DOI: 10.5677/2011-1-4

Submitted by: Subhendu Kumar Boral, MBBS, MD, DNB, Santanu Mandal, MD, Arnab Das, MD, Tushar Kanti Sinha, MD

Abstract: A 30-year-old female presented in Disha Eye Hospitals, Barrackpore, West Bengal, India with panuveitis and progressive tractional retinal detachment (TRD) involving the macula in her right eye. Her left eye was absolutely normal. An actively motile worm was detected in the pars plana area during vitreous base excision and removed in intact motile form. We removed a large amount of granulomatous tissue over the disc with thick epimacular membranes. The retina was reattached and silicone oil injected. The worm was identified as Gnathostomata spinigerum. Our patient achieved +o.8 visual acuity in Log MAR equivalent chart after silicone oil removal. CT scan of the brain was normal. Laboratory tests were also normal, with no eosinophilia. We believe that the optic disc was the path of ocular entry, and that and its migration to the pars-plana area induced TRD and ultimately secondary rhegmatogenous RD. To our knowledge, this is the first report of an association between G. spinigerum and retinal detachment.

Keywords: Panuveitis, pars plana, Gnathostomata spinigerum, secondary rhegmatogenous retinal detachment.

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Contents of this issue

original video

“Oh! I've found the way – I can create retinal detachment” - Gnathostomata spinigerum

Subhendu Kumar Boral, MBBS, MD, DNB, Santanu Mandal, MD, Arnab Das, MD, Tushar Kanti Sinha, MD

DOI: 10.5677/2011-1-4
Institution: Disha Eye Hospitals & Research Centre, Kolkata, India
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ISSN: 2191-8473