Hookworm infections are widely distributed in the tropics and subtropics, with around 1.3 billion infected globally. Common manifestations of Ancylostoma duodenale and Necator americanus infections include symptoms due to larval penetration, pneumonitis, or the intestinal phase of infection. We report an unusual case of total hyphema with secondary glaucoma in the right eye of a 70-year-old male patient, caused by an adult hookworm in the anterior chamber. The extracted worm was identified to be of Ancylostoma species. The patient was treated with topical steroids, cycloplegics, and oral albendazole. Pain, corneal oedema and secondary glaucoma subsided and his vision improved.
Paniker CKJ, Ghosh S. Paniker's textbook of medical parasitology. 7th ed. New Delhi (India): Jaypee Brothers Medical Publishers 2013:182-9.
Chatterjee K. Parasitology (protozoology and helminthology) in relation to clinical medicine. 13th ed. New Delhi: CBC Publishers 2009:199-258.
Albert DM, Jackobeic FA. Principle and Practice of Ophthalmology. Vol. 5. 2 nd ed. Philadelphia: WB Saunders Co; 1994. 4917-39.
Barua P, Barua N, Hazarika NK, Das S. Loa Loa in anterior chamber of the eye: A case report. Indian Journal of Medical Microbiology 2005;23:59-60.
Kannan KA, Vasantha K, Venugopal M. Intraocular gnathostomiasis. Indian J Ophthalmol 1999;47:252-3.
Basak SK, Hazra TK, Bhattacharya D. Persistant corneal oedema secondary to presumed dead adult filarial worm in the anterior chamber. Indian J Ophthalmol 2007;55:67-9.
Vinayakumar AR, Joseph K, Joseph AC, Johny A. Lid abscess with periorbital cellulitis caused by Dirofilaria repens. J Acad Clin Microbiol 2013;15:81-3.
Thomas V, Harish K, Tony J, Sunilkumar R, Ramachandran TM, Anitha PM. Colitis due to Ancylostoma duodenale. Indian J Gastroenterol 2006;25:210-1.
Chakraborty P. Textbook of medical parasitology. Kolkata, India: New Central Book Agency 2004:152-61.
