Dr.Ananya Dutta, A21444
A 55 year old female from a rural background presented to our outpatient department with irritation and persistent foreign body sensation in her right eye for which she took multiple treatments with carboxymethylcellulose 1% gel and antibiotic eyedrop from elsewhere.
On routine examination under the slit lamp, multiple concretions and a mildly chemosed area was found in the right lower palpebral conjunctiva temporally. On instillation of topical anaesthesia( 4% lignocaine) to prepare for concretion removal, a small, motile,live white worm was seen coming out from the lateral fornix to the inferior fornix under the microscope. The worm was then removed alive and in one piece along with the concretions from the cul-de-sac.
The worm was then sent for microbiological evaluation and morphologically identified as an adult male Thelazia callipaeda also known as the Oriental eyeworm.
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