A Case of Adult Ocular Leech Infestation

Purpose : To report a case of adult ocular leech infestationCase report : A 67-year-old male presented to the emergency department of Farabi Eye Hospital with the complaint of bloody tear. Slitlamp biomicroscopy of left eye revealed bloody lashes, bloody tear and a large black green foreign body attached to the inferotemporal bulbar conjunctiva. One cc of lidocaine 2% was injected directly to the body of leech. 10 minutes after injection, removal with forceps was retried.Conclusion : Ocular leech infestation must be considered as a differential diagnosis of bloody tear and hemorrhagic conjunctivitis. Removal of leech after direct injection of lidocaine to its body seems to be a safe method