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Peer-reviewedCC BY 4.0American Journal of Ophthalmology Case Reports

Live intraocular Angiostrongylus cantonensis infection in Vietnam: a case report

4 affiliations
  1. 1Department of Vitreous and Retina, Vietnam National Eye Hospital, Hanoi, Viet Nam
  2. 2Department of General Ophthalmology, Cung Hong Son International Eye Hospital, Hanoi, Viet Nam
  3. 3Department of Parasitology, Hanoi Medical University, Hanoi, Viet Nam
  4. 4Hanoi Medical University Hospital, Hanoi, Viet Nam

Abstract

Purpose: To report a rare case of intraocular angiostrongyliasis caused by Angiostrongylus cantonensis in Vietnam and to highlight its clinical features and management.

Observations: A patient presented with a live, motile nematode initially observed in the vitreous cavity, which subsequently migrated into the anterior chamber. The parasite was successfully removed through surgical extraction from the anterior chamber. Morphological examination and molecular analysis confirmed the organism as Angiostrongylus cantonensis. Postoperative treatment with antihelminthic medication and corticosteroids resulted in a favorable visual recovery without recurrence of ocular inflammation.

Conclusions and importance: Intraocular involvement of Angiostrongylus cantonensis is a rare manifestation of human angiostrongyliasis. This case highlights that early diagnosis and timely surgical removal of the parasite are critical for achieving favorable visual outcomes and preventing serious ocular complications, particularly in endemic regions.

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BibTeX
@article{ho2026live,
  title = {{Live intraocular Angiostrongylus cantonensis infection in Vietnam: a case report}},
  author = {Hai Xuan Ho and Thanh Ngoc Tran and Thoa Thi Doan and Bich Nguyen Ngoc},
  journal = {American Journal of Ophthalmology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.ajoc.2026.102703},
  url = {https://doi.org/10.1016/j.ajoc.2026.102703},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Live intraocular Angiostrongylus cantonensis infection in Vietnam: a case report
AU  - Hai Xuan Ho
AU  - Thanh Ngoc Tran
AU  - Thoa Thi Doan
AU  - Bich Nguyen Ngoc
PY  - 2026
DA  - 2026/10/24
JO  - American Journal of Ophthalmology Case Reports
DO  - 10.1016/j.ajoc.2026.102703
UR  - https://doi.org/10.1016/j.ajoc.2026.102703
AB  - Purpose: To report a rare case of intraocular angiostrongyliasis caused by Angiostrongylus cantonensis in Vietnam and to highlight its clinical features and management.  Observations: A patient presented with a live, motile nematode initially observed in the vitreous cavity, which subsequently migrated into the anterior chamber. The parasite was successfully removed through surgical extraction from the anterior chamber. Morphological examination and molecular analysis confirmed the organism as Angiostrongylus cantonensis. Postoperative treatment with antihelminthic medication and corticosteroids resulted in a favorable visual recovery without recurrence of ocular inflammation.  Conclusions and importance: Intraocular involvement of Angiostrongylus cantonensis is a rare manifestation of human angiostrongyliasis. This case highlights that early diagnosis and timely surgical removal of the parasite are critical for achieving favorable visual outcomes and preventing serious ocular complications, particularly in endemic regions.
SN  - 2451-9936
ER  -