MIr. FENTON said that he had a simiiilar experience at the Royal Westminster Ophthalmnic Hospital. The patient had come from West Africa complaining of irritation in the eye, and a worm I in. long could be see wriggling about just above the limbus under the conjunctiva. Cocaine was inserted, and then only the tail could be seen. The conjunctiva was quickly cut down upon, and after som-ie difficulty the worm was grasped by its tail and removed. The cocaine produced rapid movement. The pathological diagnosis was guinea worm.Mr. T. HARRISON BUTLER said that he also had had a case of loa-loa in the eye; the appearance had been exactly that niow described. The patient was a doctor from West Africa, and he also had said that if cocaine was used it would drive the worm away. He (the speaker) had grasped the conjunctiva with forceps, put a thread tlhrough, and tied a thread round the creature's middle. Then he had iiiserted cocaine and tried to dissect it out, but it had broken in the middle. It was about an inch long.The PRESIDENT (in reply) said that Colonel Elliott, in his boolk " Tropical Ophthalmology ", referred to the rarity of filaria in the human eye in comparison with its appearance in the eyes of animals, and said that it was of a different species in the latter. He understood that subconjunctival filaria. were usually loa-loa.
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