ABSTRACT
PURPOSE: To present a case of ocular sparoganosis presenting as itching sensation. METHODS: A 60-year-old woman presented for removal of an itchy subconjunctival mass in her left eye. Her ocular findings were normal, except for a subconjunctival mass (1.5 x 1.5 mm). RESULTS: A parasite excised from the subconjunctival mass was identified as a sparganum, by microscopic examination after hematoxylin-eosin staining. The mummified parasite was identified as the plerocercoid phase of the sparganum, by microscopy. CONCLUSIONS: Although rare, parasitic disease should be suspected in a palpable subconjunctival mass unresponsive to the medical treatment.
Subject(s)
Middle Aged , Humans , Female , Sparganosis/complications , Pruritus/etiology , Ophthalmologic Surgical Procedures , Korea , Eye/parasitologyABSTRACT
PURPOSE: The subconjunctival sparganosis is rare tissue helminthiasis which developed frequently in abdominal, urethral, ureteral and vertebral cases. Authors report a case of sparganosis in the subconjunctival mass. METHODS: A 51-year-old man with reddish non painful mass in his left eye on the subconjunctiva that was unresponsive to medications for 6months was evaluated and treated surgically. On surgical exploration, a white thread-like plerocercoid 0.2 x 4.7 cm in size was extracted from the subconjunctival mass and actively motile in the bottle filled with saline. It was confirmed as a typical sparganum under histologic examination. Three months after surgery, the lesion disappeared completely. RESULTS: Although rare, parasitic disease should be suspected in a palpable subconjuntival mass unresponsive to the medical treatment.
Subject(s)
Humans , Middle Aged , Helminthiasis , Parasitic Diseases , Sparganosis , Sparganum , UreterABSTRACT
Subconjunctival fat prolapse is characterized by a yellow, convex, movable mass on the superotemporal quadrant. It is thought that orbital fat is prolapsed forward through the weakened Tenon's capsule, as an aging process. This lesion may be confused with lipodermoid, prolapsed lacrimal gland and lipoma. We report 4 cases (7 eyes) of subconjunctival fat prolapse, all of them were men, aged from 48 to 67 years. After surgical treartment, good cosmesis was obtained with the average follow-up period of 15.5 months.