Alternative content
“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.
References:
1) Sen K, Ghose N. Ocular gnathostomiasis. Br J Ophthalmol. 1945;29:618-26.
2) Bhattacharjee H, Das D, Medhi J. Intravitreal gnathostomiasis and review of literature. Retina. 2007;27(1):67-73
3) Basak SK, Sinha TK, Bhattacharya D, Hazra TK, Parikh S. Intravitreal live Gnathostoma spinigerum. Indian J Ophthalmol. 2004;52(1):57-8
4) Biswas J, Gopal L, Sharma T, Badrinath SS. Intraocular Gnathostoma spinigerum. Clinicopathologic study of two cases with review of literature. Retina. 1994;14(5):438-44
5) Nawa Y, Katchanov J, Yoshikawa M, et al. Ocular Gnathostomiasis: A Comprehensive Review. J Trop Med Parasitol. 2010;33:77-86
View for free
Contents of this issue
“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: 10.5677/2011-1-4Institution: Disha Eye Hospitals & Research Centre, Kolkata, India
25-gauge vitrectomy techniques for proliferative diabetic retinopathy
Florian Balta, MD
DOI: 10.5677/2011-1-5Institution: Bucharest Eye Hospital, Carol Davila University, Bucharest, Romania
Dancing nematodes in the eye
Avinash Pathengay, MD, DO FRCS, William Aylward, MD, Biju Raju, MD, Jalli Gangadhar, Kolli Goverdhan Babu, Shobha Mocherla
DOI: 10.5677/2011-1-6Institution: L V Prasad Eye Institute, Hyderabad, India
The "bell pepper" experiment: introducing a novel self-sealing “screwcut” incision for sutureless transconjunctival vitrectomy
L.-O. Hattenbach, MD
DOI: 10.5677/2011-1-7Institution: Dept. of Ophthalmology, Ludwigshafen hospital, Ludwigshafen, Germany
Sutureless intraocular lens fixation of a dislocated intraocular lens - capsular bag - capsular tension ring complex
Kannan Naresh Babu, MS, FNB, Ramasamy Kim, MS
DOI: 10.5677/2011-1-8Institution: Aravind eye hospital, Madurai, India
Corneal surprise during vitreoretinal surgery
Francisco J. Ascaso, MD, Paula Casas, MD, Enrique Mínguez, MD
DOI: 10.5677/2011-1-9Institution: Dept. of Ophthalmology, "Lozano Blesa" University Clinic Hospital, Zaragoza, Spain
Uveal effusion syndrome: diagnosis and management
S. Chien Wong, MRCOphth, FRCSEd, Paul M. Sullivan, MD, FRCOphth
DOI: 10.5677/2011-1-10Institution: Moorfields Eye Hospital, London, UK
Incision making in small gauge surgery
Manish Nagpal, MS, FRCS
DOI: 10.5677/2011-1-11Institution: Retina Foundation, Ahmedabad, India
