The Eye That Felt Alive: A Rare Case of Subconjunctival Loa loa Infection in the United Kingdom

We present the case of a 28-year-old Nigerian woman who presented to the Emergency Department with the sensation that “something was moving” in her right eye. Examination revealed a live, mobile parasite migrating beneath the bulbar conjunctiva near the limbus. Laboratory investigations demonstrated eosinophilia. Urgent surgical extraction was performed, and morphological analysis confirmed Loa loa. This case highlights the importance of recognising tropical parasitic infections in non-endemic regions, the value of multidisciplinary management, and considerations for systemic therapy, particularly in pregnancy.