Intracameral gnathostomiasis presenting as neuroretinitis

A male patient in his 40s visited our ophthalmology outpatient department with complaints of periocular swelling, redness and decreased vision in the right eye. Initial examinations revealed anterior chamber cell 4+, vitreous cell 2+ and fibrous proliferation with haemorrhage in the superior and temporal regions around the swollen optic disc with macular oedema. Despite initial treatment, the patient showed no improvement. Subsequent slit-lamp examination revealed a nematode in the anterior chamber, prompting surgical removal and identification as <i>Gnathostoma spinigerum</i> This case underscores the importance of considering intraocular gnathostomiasis in patients presenting with neuroretinitis and panuveitis, particularly in endemic regions.