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Cet abstract a été assigné à session AOB Free Papers

Type de présentation	Oral presentation
Titre	Wriggling surprise during cataract surgery.

But	To present a rare case of intracapsular pentastomiasis.
Méthodes	This 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.
Résultats	The 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.
Conclusion	Ocular 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.
Conflit d'intérêt	Non

Auteur 1

Nom	KOULALIS
Initiales	J
Institut	UZB
Ville	Brussel

Auteur 2

Nom	Mayala
Initiales	T
Institut	Hôpital Provincial de référence de Bandundu
Ville	Bandundu RDC

Auteur 3

Nom	Koller
Initiales	J
Institut	OWW
Ville	Ath

Auteur 4

Nom	Hardy
Initiales	R
Institut	Clinique Ophtalmologique St Raphaël
Ville	Mbuji Mai RDC

Auteur 5

Nom	Dugauquier
Initiales	A
Institut	Het Oogziekenhuis
Ville	Rotterdam