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Ocular leech infestation

Authors Lee Y, Chiu C

Received 22 December 2014

Accepted for publication 20 January 2015

Published 27 February 2015 Volume 2015:9 Pages 419—421

DOI https://doi.org/10.2147/OPTH.S79735

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Yueh-Chang Lee, Cheng-Jen Chiu

Department of Ophthalmology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC

Abstract: 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.

Keywords: leech, ocular foreign body, conjunctival reaction, pediatric ophthalmology

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