Abstract
Case summary
A 24-year-old female presented with symptoms of conjunctival injection and ocular pain in her left eye and a parasite was found in her conjunctival sac. Using light microscopy, we identified Thelazia callipaeda and many larvae were observed in the vulva of an adult female worm. Three days later, erythematous swelling occurred in the left upper eyelid and four adult worms were found and removed with forceps. Third-generation cephalosporin and nonsteroidal anti-inflammatory drugs were administered orally; the eyelid swelling improved but the conjunctival injection remained. Later five and seven adult worms were removed every 4 weeks and the conjunctival injection improved with no parasites detected after the final extraction.
Figures and Tables
Figure 1
External photography of the patient. A 24-year-old woman presents eythematous swelling at her left upper eyelid.
![jkos-59-181-g001](/upload/SynapseData/ArticleImage/0035jkos/jkos-59-181-g001.jpg)
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