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Am J Ophthalmol. 2004 Nov;138(5):873-5.

Eyelid sparganosis.

Author information

1
Department of Ophthalmology, Chonnam National University Medical School, Gwang-Ju, South Korea. kcyoon@chonnam.ac.kr

Abstract

PURPOSE:

To report a case of sparganosis in the muscle layer of the eyelid.

DESIGN:

Observational case report.

METHODS:

A 67-year-old man with migratory painful swelling on the eyelid that was unresponsive to medications was evaluated and treated surgically.

RESULTS:

Computed tomography showed a 1.5 x 1.5-cm sized, thick-walled lesion and ultrasound biomicroscopy showed hypoechoic tubular and cystic lesions. During surgery, a white, thread-like plerocercoid, 7 cm in length was detected in the orbicularis muscle of the lower eyelid. Histopathologic examination demonstrated the characteristic feature of the sparganum larva and foreign body granulomatous reaction. Serodiagnosis by enzyme-linked immunosorbent assay was positive. Three months postoperatively, the lesion resolved completely.

CONCLUSION:

Although rare, sparganosis should be suspected in a moving eyelid mass unresponsive to the medical treatment.

PMID:
15531332
DOI:
10.1016/j.ajo.2004.05.055
[Indexed for MEDLINE]
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