Ocular gnathostomiasis

Abstract

Onset with a dull aching pain on the left side of the nose extending to left frontal and temporal regions, then swelling of trite face extending from the angle of the mouth to the roots of the hair were followed by orbital cellulitis and vitreous and retinal haemorrhages. In the hospital, he had two attacks of iritis with the development of grey nodules on the iris which completely disappeared leaving grey depressions on the iris. This was followed by two more attacks of iritis with the development of a single pigmented nodule on the iris in each attack. The pigmented nodule completely disappeared leaving no mark after the first attack. In the second attack, which was the most severe, the pigmented nodule was seen to be the Worm. The worm was removed at operation and the eye made art uneventful recovery though optic atrophy developed.