Intravitreal Angiostrongyliasis: Report of 2 Cases

Two male patients presented with unilateral blurred vision. A small motile worm was found in the vitreous cavity in both cases. In one case, another dead, disintegrated worm was noted in the inferior portion of the vitreous cavity. On each eye, vitreous surgery was performed and the worm was removed...

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Bibliographic Details
Main Authors: Patikulsila D., Ittipunkul N., Theerakittikul B.
Format: Conference or Workshop Item
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-0345601846&partnerID=40&md5=5732f61ff6be04d9595ae55eac53c76d
http://www.ncbi.nlm.nih.gov/pubmed/14650712
http://cmuir.cmu.ac.th/handle/6653943832/2855
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Institution: Chiang Mai University
Language: English
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Summary:Two male patients presented with unilateral blurred vision. A small motile worm was found in the vitreous cavity in both cases. In one case, another dead, disintegrated worm was noted in the inferior portion of the vitreous cavity. On each eye, vitreous surgery was performed and the worm was removed by an aspirator. Both worms were identified as Angiostrongylus cantonensis. Since both patients had no signs of meningitis, lumbar puncture was not done. Long-term follow-up confirmed the benefit and safety of the vitreous surgery. Fluorescein angiography revealed severe pigmentary alteration, probably from inflammation of the choroid and retina due to subretinal migration of the worm prior to access into the vitreous cavity.