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July 1988

Intraocular Ascaris Larva

Arch Ophthalmol. 1988;106(7):880. doi:10.1001/archopht.1988.01060140022009

To the Editor.  —Limited reports of ocular infestation by migrating Ascaris larvae in humans are available.1,2 We herein document, to our knowledge for the first time, the detection and subsequent removal in toto of a live Ascaris larva from the anterior chamber of a human eye.

Report of a Case.  —A 26-year-old man who was otherwise healthy presented with pain, redness, watering, and decreased vision in the right eye of four days' duration. A diagnosis of uveitis had been made elsewhere, and he was treated with topical steroids and cycloplegics, with minimal relief of symptoms. No other contributory history could be elicited.On examination, he was a healthy individual with no positive systemic findings. Ocular examination revealed a best corrected visual acuity of 20/200 OD and 20/20 OS. The left eye was essentially normal. The conjunctiva of the right eye was hyperemic. Slit-lamp biomicroscopy revealed a cloudy, edematous

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