1. Loa Loa In Montgomery County
J. Alberto Martinez, MD
April 22, 2012

2. • Demographics:
Patient FM ▫ Gender: male
November 5th 2010 ▫ Race: African
▫ Country: Cameroon
▫ Age: 30
• History of present illness:
 Two days history of FBS and itching Referred as an
emergency by Dr.Suzanne Carducci O.D.
 for evaluation of a possible worm OS.

3. History
• 3o Y.O African male with two days history of
itching and FBS OS.
• Patient looked at the mirror and saw something
moving. Went to work regardles, and coworker
saw something moving in his eye, urged him to
see eye doctor.
• Patient works at Lake Forest Mall, went to see
Dr. Carducci

4. Past Ocular History
• Two years previously, in Cameroon had two
episodes of FBS, itching and red eye. Was told by
his parents it was filaria and prescribed the
usual treatment: Cut an onion in half and place
it in front of the eye for 10 minutes. Both times
the symptoms went away and the eye got “white”
and stopped itching.

5. Social History
▫ Drinks socially
▫ Denies smoking
▫ Student and sales associates at JCPenney’s
▫ No family history noted
▫ No systemic meds
▫ No known allergies
▫ Arrived in United States two years
previously

6. • Orientation, Mood and Affect:
▫ Alert and oriented
• Vision:
▫ Corrected VA OD: 20/25
 +0.50 +0.25 X103 Exam:
▫ Corrected VA OS: 20/20
 +0.75 SPHER
• Slit-Lamp Exam:
▫ +2 injection of conjunctiva OS. A worm-like
creature actively moving in the subconjunctival
space inferotemporally.

12. • Prescription:
▫ Zylet 0.5%
• Instructions:
Plan:
▫ 1 drop TID left eye
• Patient referred to LOASIS
unit at NIH/NIAID

13. Patient AN
April 22, 2012
• Demographics:
▫ Gender: female
▫ Race: African
▫ Country: Cameroon
▫ Age: 20
▫ Occupation: Student

14. History of Present Illness
• Two day history of itching, FBS, eye pain OS.
• Symptoms worsened when she went to the sun
• Looked in the mirror, never saw anything
moving
• Began experiencing headaches, saw internist
who referred to Ophthalmologist
• Ophthalmologist referred patient to us.

15. Past Medical History
• Itching and swelling of wrists and hands
• Initially thought to be caused by lifting plates in
her job as waitress
• However, symptoms persisted after leaving job.

16. Social History
• Social History:
▫ Drinks socially
▫ Denies smoking
▫ Family History: diabetes both grandparents
▫ No systemic meds
▫ No known allergies
▫ Arrived in the US at age 14, has never been
back to her country since

17. Exam:
• Orientation, Mood and Affect:
▫ Alert, oriented, aprehensive
• Vision uncorrected
▫ OD: 20/20
▫ OS: 20/20
• Slit-Lamp Exam:
▫ +2 injection. Relatively large worm actively moving in
the subconjunctival space. Reassured and Transferred
to microscope for removal.

20. • Prescription:
Plan:
▫ Zylet 0.3-0.5% tid.
▫ Referred for further care to Thomas Nutman, M.D.
NIH/NIAID
• Patient returned for follow up on 10/5/2011. Patient
stated to have FBS. Besides that no other eye
symptoms.
• Currently her writ and hand swelling and itching
have disappeared.