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A 64-year-old man with an unusual conjunctival cyst
Digital Journal of Ophthalmology 2017
Volume 23, Number 1
March 8, 2017
DOI: 10.5693/djo.03.2016.04.001
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Seanna Grob, MD, MAS | Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Boston, Massachusetts Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts Department of Ophthalmology, Massachusetts Eye and Ear Infirmary
Daniel R. Lefebvre, MD | Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Boston, Massachusetts Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts Department of Ophthalmology, Massachusetts Eye and Ear Infirmary Ophthalmic Plastic Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts
Nora Laver, MD | Ophthalmic Pathology, Department of Ophthalmology, Tufts Medical Center and Tufts University School of Medicine, Massachusetts
Mary K. Daly, MD | Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Boston, Massachusetts Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts



Treatment
Considering the degenerated state of the worm, the CDC did not recommend any further treatment. While awaiting the response from the CDC, the patient was evaluated by an infectious disease specialist. Further questioning revealed that the patient had a cat, but he denied contact with dogs. He regularly fed wildlife by hand, such as raccoons, and had previously resided in southern Florida, near the Everglades. A chest x-ray was negative, and laboratory tests, including complete blood count with differential, erythrocyte sedimentation rate, and C-reactive protein, were remarkable for an elevated eosinophil count of 15.8%. The patient was followed closely in the ophthalmology clinic to ensure that there were no changes in his clinical examination.
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