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Annoying Conjunctival Thelaziasis in a Patient Aged 81 Years

To identify the key insights or developments described in this article
1 Credit CME

An 81-year-old female patient presented with a foreign body sensation in the left eye for 1 month. On assessment, a long, threadlike, white worm crawling on the conjunctival surface was identified (Figure, A and Video). In addition, the patient also had a pterygium and cataract. One half hour after the slitlamp examination, the worm was removed and was identified as an adult Thelazia callipaeda worm by the parasite department of the Medical College of Qingdao University. The patient recalled that a fly had contact with her left eye 1 month ago. She was given an initial dose of albendazole tablets, 200 mg, and then twice a day for 7 days.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Lei Gao, MD, Department of Ophthalmology, Weifang Eye Institute, Weifang Eye Hospital, Zhengda Guangming Eye Group, Xingfujie 139, Weifang 261000, China (gl6365@163.com).

Correction: This article was corrected on April 13, 2023, to remove “intraocular” in the Video title.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient’s daughter for granting permission to publish this information.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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