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Subconjunctival Dirofilariasis in a Healthy Subject: A Case Report Publisher



Aghajani A1 ; Rajabi MT1 ; Rafizadeh SM1 ; Rahmanikhah E1 ; Samiee R2 ; Abdol Homayuni MR2 ; Zand A1
Authors
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Authors Affiliations
  1. 1. Department of Oculo-Facial Plastic and Reconstructive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Ophthalmic Inflammation and Infection Published:2024


Abstract

Purpose: To report a case of subconjunctival dirofilariasis presenting as an inflammatory mass-like lesion in a healthy individual. Case presentation: A 20-year-old male with a recent history of wildlife exposure in a rural village presented with an inflammatory subconjunctival mass in his left eye. The lesion was surgically excised, and histopathological examination confirmed the presence of an immature nematode of Dirofilaria immitis. The patient was treated with oral ivermectin for two weeks postoperatively. After two months, the lesion had almost completely resolved, and no recurrence was observed during the 6-month follow-up. Conclusions: Given the rarity of ocular dirofilariasis and its diverse presentations in different ocular and adnexal structures, prompt and complete excision followed by meticulous histopathological evaluation is crucial to guide appropriate management and achieve favorable outcomes. © The Author(s) 2024.