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To the Editor.—
When an attractive 20-year-old girl presents with a chief complaint of "I've got worms in my eye," do not jump to hasty conclusions and suspect a bad lysergic acid diethylamide (LSD) trip. The following case illustrates this point.The patient was hiking in the foothills of the Alborz mountains of northern Iran when she felt "something" go into her left eye. This was followed several hours later by intense pruritus, burning, and tearing. She noted "many small worms approximately one-sixteenth of an inch long with black heads and white tails" beneath her lower eyelid. This was associated with a "crawling" sensation. She presented at the hospital with the above complaint and a swollen tearing left eye. Nothing unusual could be visualized at that time by the examining physician. Appropriate treatment was prescribed for conjunctivitis and she was informed that "the worms probably didn't exist." Upon leaving the
Pinkerton AW. Conjunctival Myiasis. JAMA. 1971;215(5):797. doi:10.1001/jama.1971.03180180071022
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