Abstract

Worm in the anterior chamber is a rare occurrence. It can produce symptoms of floaters, ocular discomfort, and ocular inflammation and need to be removed surgically. For a highly motile worm, surgical removal can be a challenge. To retrieve the worm alive, we are suggesting a technique of mechano-paralysis of the worm by anterior chamber (AC) compartmentalization using viscoelastics. In this technique, about 75% of the aqueous solution is aspirated by a 30 gauge needle, entered through the limbus, and replaced by viscoelastics injected through the same needle. It creates a visco-compartment and an aqueous-compartment in AC. This results in the restriction of the movement of the worm to an aqueous compartment only. The worm is then aspirated with a 23-gauze canula through a paracentesis made in the area opposite the aqueous compartment. This technique helps in the retrieval of the worm alive.