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Deze abstract is toegekend aan sessie AOB Free Papers
Type presentatieOral presentation
TitelWriggling surprise during cataract surgery.
DoelTo present a rare case of intracapsular pentastomiasis.
MethodesThis article reports the case of a 10 year-old girl seen during a humanitarian mission in the Democratic Republic of Congo, who turned out to suffer from ocular pentastomiasis in an uncommon location.
ResultatenThe girl complained about progressive unilateral vision loss since one year. Slit lamp examination revealed a white cataract in the right eye. Fundoscopy was inaccessible. During surgery, an annulated worm was found in the capsular bag. Further anamnesis was remarkable for regular snake and crocodile meat consumption. A clinical diagnosis of ocular pentastomiasis was made. The worm was sent for analysis to the Bernhard Nocht Institute for Tropical Medicine, Germany, for characterization, which confirmed the diagnosis. Human pentastomiasis is a rare, yet emerging zoonotic disease. Consumption of undercooked, infected snake meat may lead to visceral pentastomiasis, which is usually asymptomatic. Ocular involvement is uncommon but often devastating. The parasite resides with a decreasing frequency in the anterior chamber, in the ocular adnexa or the posterior chamber. To our knowledge, intracapsular involvement has not been described so far. After surgery, fundoscopy showed diffuse retinal atrophy and the vision did unfortunately not improve.
ConclusieOcular pentastomiasis can be a devastating cause of vision loss in endemic regions. This case illustrates a possible intracapsular location of the parasite. Informing populations concerned about this pathology and promoting hygiene in meal preparation could potentially prevent some cases of blindness.
BelangenverstrengelingNee
Auteur 1
NaamKOULALIS
InitialenJ
InstituutUZB
StadBrussel
Auteur 2
NaamMayala
InitialenT
InstituutHôpital Provincial de référence de Bandundu
StadBandundu RDC
Auteur 3
NaamKoller
InitialenJ
InstituutOWW
StadAth
Auteur 4
NaamHardy
InitialenR
InstituutClinique Ophtalmologique St Raphaël
StadMbuji Mai RDC
Auteur 5
NaamDugauquier
InitialenA
InstituutHet Oogziekenhuis
StadRotterdam
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