Thelazia callipaeda has spread from Southeast Asia to all European countries. When a fly contacts the skin, the larva is released and develops in the lacrimal secretions; it is transmitted when flies feed on the secretions of hosts. In this video, a 49-year-old Chinese woman presented with paroxysmal symptoms of a crawling sensation and pruritis in her left eye for 1 week. Under slitlamp examination, simultaneous with the crawling sensation, movement of a white worm beneath the temporal bulbar conjunctiva was noted. Following a small conjunctival peritomy, forceps were used to remove the worm.
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