Adult ocular leech infestation

Lewis, George M.; Coombes, Andrew

doi:10.1038/sj.eye.6701862

Cited by 11 publications

(11 citation statements)

References 4 publications

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“… 5 , 8 , 10 – 12 Other preparing methods before leech removal included irrigation with normal saline in combination with injection of suxamethonium into the worm, 6 application of 3% hypertonic saline drops, 7 or even direct application of cooking salt to the leech. 9 None of the articles reported long-term complications. The method of extraction we used involved instilling topical anesthetic drops and removing the leech with forceps using precaution to ensure that the leech’s suckers and midbody were detached from the eyeball completely.…”

Section: Discussionmentioning

confidence: 97%

“… 2 In modern plastic surgery, they have been used as decongestants for draining periorbital and scrotal hematomas. 3 , 4 In a hospital emergency setting, there have been cases of ocular leech infestation described in publication, eg, a 32-year-old man in People’s Republic of China, 5 a 4-year-old girl in Ethiopia, 6 a 67-year-old man in Iran, 7 a 66-year-old woman in Australia, 7 a 38-year-old woman in Japan, 8 a 28-year-old man in the UK, 9 a 4-year-old girl in Germany, 10 and a 7-year-old boy in Turkey. 11 Herein, we report the youngest case of conjunctival leech infestation in English literature.…”

Section: Discussionmentioning

confidence: 99%

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Ocular leech infestation

Lee¹,

Chiu²

2015

OPTH

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This case report describes a female toddler with manifestations of ocular leech infestation. A 2-year-old girl was brought to our outpatient clinic with a complaint of irritable crying after being taken to a stream in Hualien 1 day previous, where she played in the water. The parents noticed that she rubbed her right eye a lot. Upon examination, the girl had good fix and follow in either eye. Slit-lamp examination showed conjunctival injection with a moving dark black–brown foreign body partly attached in the lower conjunctiva. After applying topical anesthetics, the leech, measuring 1 cm in length, was extracted under a microscope. The patient began using topical antibiotic and corticosteroid agents. By 1 week after extraction, the patient had no obvious symptoms or signs, except for a limited subconjunctival hemorrhage, and no corneal/scleral involvement was observed.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Ocular leech infestation

Lee¹,

Chiu²

2015

OPTH

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“…To our knowledge, only three previous cases have been published. [2][3][4] In these instances, the leeches were removed by direct application of cooking salt, 2 or by instillation with topical anaesthetic drops and traction with forceps. 3,4 However, failure to remove the jaws of the leech, particularly when relying on traction alone, risks secondary infection.…”

Section: Discussionmentioning

confidence: 99%

Leech on the eye: A novel use for hypertonic saline

Partyka

Fogg

2009

Emerg Medicine Australasia

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“…As well the skin, a leech can also attach to the mucosal surfaces of the eyes and the nasal mucosa. 1,2 Case report A 24-year-old man presented to the ophthalmology outpatient department after being referred by an intern with a diagnosis of iris prolapse of the right eye. He was a farmer by occupation.…”

Section: Introductionmentioning

confidence: 99%

“…Brucellosis may be transmitted through contact with infected animals, the consumption of raw milk and milk products and/or inhalation of stable dust. 1,2 We report a case of acute glomerulonephritis caused by brucellosis.…”

Section: Introductionmentioning

confidence: 99%