Surgical management of a live intravitreal nematode
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A 35-year-old man presented with a six-week history of left eye pain, blurriness, photophobia and floaters. On examination, he was found to have a non-mobile nematode suspended within the vitreous humor of his left eye. While parasitic infections are common in many developing countries, ocular involvement and in particular intravitreal involvement is rare.

The surgical management of live intravitreal nematode in his left eye was done. A 23-gauge pars plana limited core vitrectomy was performed to release the nematode from the surrounding vitreous strands. After creating a peritomy, a 20-gauge full thickness sclerotomy was created with a microvitreoretinal blade. The tip of a 20-gauge angiocath needle was cut obliquely and inserted through the sclerotomy. The external portion of the needle was attached to the viscous fluid extraction tubing for the Constellation vitrectomy machine (Alcon). Gentle aspiration pulled the nematode into the angiocath. The nematode was transferred to a syringe for parasitologic evaluation.

The novel surgical technique described allows for aspiration of an intravitreal nematode in a controlled fashion. This technique can be used to manage this rare, but visually significant condition.

Source:https://www.sciencedirect.com/science/article/pii/S245199362030075X
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