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Volume 9
Journal of Clinical & Experimental Ophthalmology
Ophthalmology Conference 2018
September 17-18, 2018
September 17-18, 2018 Tokyo, Japan
17
th
Asia Pacific Ophthalmologists Annual Meeting
J Clin Exp Ophthalmol 2018, Volume 9
DOI: 10.4172/2155-9570-C6-094
Eye worm swimming live in anterior chamber: How to remove live nematode without damaging
eye structure? First report from south Borneo, Indonesia
Irma Suwandi sadikin
1
, Husni Thamrin
1
and Ersyad Hamda
2
1
Hadji Boejasin Public Hospital, Indonesia
2
Padjadjaran University, Indonesia
W
e are reporting a case of a worm swimming live in Anterior Chamber (AC), which was difficult to be removed due to
its wriggling movement and need to be carefully removed without damaging the ocular structure. A 21 year old male
presented with a sudden-onset of pain in right eye for 5 days. The complaint was accompanied with irritation and photophobia.
On examination, visual acuity was 6/6.5 with his best corrected, with circumcorneal congestion. We performed slit-lamp
examination on the AC and witnessed a thin, white motile object with wriggling movement that was swimming live in AC.
The worm was removed surgically from AC by using forceps and adding lidocain with NaCl 0.9% intra-corneal to stop its
movement. The worm was sent to pathological anatomy department to be examined microscopically. The method of using
lidocaine as a chemo-paralysis substance has been proven effective to facilitate an easy removal of the worm so as to prevent
major harm to the ocular structure.
irmaswans@gmail.com