Abstract：
A man in his late 50s presented with a gradually enlarging, painless, reddish mass on the white portion of his left eye for 2 weeks. His best-corrected visual acuity was 20/20 in both eyes. Slit-lamp examination showed a congested, nodular, elevated lesion on the temporal bulbar conjunctiva with two pustule-like elevations. Anterior segment optical coherence tomography showed a subconjunctival solid mass rather than an abscess or a cyst. Scleral deroofing was performed and a long thread-like object resembling a dead worm was identified. The worm was removed intact, and its histopathology confirmed the diagnosis of Dirofilaria Peripheral blood smear did not show any microfilariae. No recurrences or new lesions were observed during the follow-up examinations at 1 and 5 months post-surgery. This case highlights the importance of considering a parasitic aetiology in cases of nodular or infectious scleritis.
摘要：
一个50多岁的男人被逐渐放大，无痛,他左眼白色部分的红色肿块持续2周。他双眼的最佳矫正视力为20/20。裂隙灯检查显示拥堵，结节状,颞部球结膜上的病变升高，有两个脓疱样升高。前段光学相干断层扫描显示结膜下实性肿块，而不是脓肿或囊肿。进行了巩膜脱毛，并确定了一个类似死蠕虫的长线状物体。蠕虫被完整地移除，其组织病理学证实诊断为红丝菌。外周血涂片未显示任何微丝菌。在术后1个月和5个月的随访检查中未观察到复发或新的病变。此病例强调了在结节性或感染性巩膜炎病例中考虑寄生虫病因的重要性。
