Bilateral Intravitreal Onchocerciasis Associated with Panuveitis: A Case Report.

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY
Huseyin Baran Ozdemir, Benay Karabulut, Funda Dogruman Al, Ihsan Gokhan Gürelik
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引用次数: 0

Abstract

Purpose: To report a rare case of bilateral intravitreal onchocerciasis presenting with panuveitis and managed successfully through combined medical and surgical interventions.

Methods: A 42-year-old female with bilateral panuveitis and suspected intravitreal nematodes underwent comprehensive ophthalmologic evaluation, systemic investigations, and bilateral pars plana vitrectomy. Extracted nematodes were identified through macroscopic and molecular analysis.

Results: The patient presented with decreased vision and panuveitis in both eyes. Vitrectomy revealed fragmented nematode tissues, later confirmed as Onchocerca at the genus level. Postoperatively, the inflammation resolved and visual acuity returned to normal.

Conclusion: It is important to recognize intravitreal parasitic infections in patients with unexplained uveitis, particularly in endemic or rural exposure settings. Combined medical and surgical management resulted in favorable visual and clinical outcomes.

双侧玻璃体内盘尾丝虫病合并全葡萄膜炎1例。
目的:报告一例罕见的双侧玻璃体内盘尾丝虫病伴全葡萄膜炎的病例,并通过内科和外科联合治疗成功。方法:42岁女性,双侧全葡萄膜炎,疑似玻璃体内线虫,行全面眼科检查、全身检查和双侧玻璃体切割手术。提取的线虫通过宏观和分子分析进行鉴定。结果:患者表现为视力下降,双眼全葡萄膜炎。玻璃体切割发现碎片状的线虫组织,后来证实为盘尾丝虫属。术后炎症消退,视力恢复正常。结论:在不明原因葡萄膜炎患者中识别玻璃体内寄生虫感染是很重要的,特别是在地方性或农村暴露环境中。内科和外科联合治疗获得了良好的视觉和临床结果。
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来源期刊
CiteScore
6.20
自引率
15.20%
发文量
285
审稿时长
6-12 weeks
期刊介绍: Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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