Author/Authors :
Kamalakshy, Jisha Department of Ophthalmology - Government Medical College - Kottayam - Kerala, India , Babu, Krishna Department of Ophthalmology - Government Medical College - Kottayam - Kerala, India , Madhavan, Padmasree Kamala Department of Ophthalmology - Government Medical College - Kottayam - Kerala, India , Subrahmaniam, Seshadrinathan Department of Ophthalmology - Government Medical College - Kottayam - Kerala, India
Abstract :
An eight‑year‑old girl presented with a one‑week
history of redness in the right eye. Best corrected visual
acuity was 6/6 bilaterally. The right eye showed mild
circumcorneal congestion and a worm in the central
cornea [Figure 1], which showed a wiggling motility
under high magnification of slit lamp. The rest of the
ocular examination was normal. Considering the very
central location of the worm in cornea, any intervention
to remove or destroy the worm was deferred on that day.
By the next day, the worm had migrated to the peripheral
cornea at the 10 o’clock position [Figure 2]. We decided
on Nd: YAG laser photodisruption of the worm, rather
than its surgical removal.