EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Systemic Disorders
Diagnosis: tropical eosinophilia with bulbar conjunctival hyperemia OU

Image Comments:

The Kurji Holy FamilyHospital Eye Clinic was located in an area highly endemic for microfilariasis. Those patients who had unexplained bulbar conjunctival hyperemia were screened for tropical eosinophilia by blood counts for eosinophilia, by chest x-ray examination for lung infiltrates, and for blood smears for the remote possibility of finding microfilariae.Through these studies, it was possible to make a diagnosis of tropical eosinophilia in this young man. He responded to treatment for microfilariasis.

The sadhu with the orange bucket has a markedly swollen stove-pipe left leg due to his chronic filariasis- lymphedema of the left leg.

 

 

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