| A technique for capturing migratory periocular worms: a case series and review of literature. | |
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MedLine Citation:
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PMID: 20622701 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe the clinical presentation of migratory nematodes and to outline a simple strategy to ensure capture. METHODS: Retrospective case series. RESULTS: Two consecutive patients with suspected migratory nematodes were treated promptly by strategic placement of a pharmacological barrier in the forniceal conjunctiva using 1% lidocaine with epinephrine to block the routes of retreat and to immobilize the worms for controlled retrieval. Two live nematode worms, one subcutaneous dirofilaria and one subconjunctival Loa loa, were successfully removed. CONCLUSIONS: A sense of urgency is conveyed to isolate the migratory worm while it is still visible and residing in a location for easy surgical removal. The retreat of the worm to the deeper, inaccessible orbit is prevented by strategic placement of a perimeter of anesthetic. |
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Authors:
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Brian C Tse; Rhea Siatkowski; David T Tse |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Ophthalmic plastic and reconstructive surgery Volume: 26 ISSN: 1537-2677 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-22 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 323-6 Citation Subset: IM |
Affiliation:
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University of Miami Miller School of Medicine, Miami, FL 33136, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Animals Conjunctival Diseases / diagnosis, parasitology, surgery Dirofilaria / isolation & purification* Dirofilariasis / diagnosis, parasitology, surgery* Drug Combinations Epinephrine / administration & dosage Eye Foreign Bodies / diagnosis, parasitology, surgery* Eye Infections, Parasitic / diagnosis, parasitology, surgery* Eyelid Diseases / diagnosis, parasitology, surgery Female Humans Lidocaine / administration & dosage Loa / isolation & purification* Loiasis / diagnosis, parasitology, surgery* Male Middle Aged Retrospective Studies Skin Diseases, Parasitic / diagnosis, parasitology, surgery |
| Chemical | |
Reg. No./Substance:
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0/Drug Combinations; 137-58-6/Lidocaine; 51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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