While very rare, cases of Thelazia lacrymalis commonly known as the Eye Worm do occur, most often in the summer months. They are often noticed while a horse is being examined for another issue as many horses infected with Thelazia show no clinical symptoms whatsoever, other than the presence of these tiny worms in their eyes.
- 28 – 38% of horses in the United States are infected and most show no outward signs.
- Spirurid nematode found on the surface of the eyeball, under the eyelids and nictitating membrane (third eyelid), under the conjunctiva and in the tear ducts.
- Musca autumnalis, the Face Fly, is the most important vector or transmitter of Thelazia. Eye worm larvae are transmitted when flies feed on horses’ eye secretions.
- Adult worm males are usually 8 – 12 mm in length; females are usually 14 – 18 mm in length.
- Transmission is seasonal – occurs in summer months when flies are out and about.
- Symptoms of Eye worm infection include mild to severe conjunctivitis, lacrimation (tearing) and photophobia (light sensitivity), corneal opacity and/or corneal exudates and pus which can progress to keratitis, corneal ulcers and blindness.
- Diagnosis is via recognition of Eye worms – either adults in conjunctival sac after administration of topical anesthetic or larval forms in lacrimal secretions.
- Only treatment includes removal of any adult worms found. Most conventional anti-parasitic drugs are not effective.
- Fly control is the most important strategy to combat this parasite.
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