48 Henry B. Ward 



except when it approaches the surface of the body, and no con- 

 stitutional symptom is recognized as due to its presence. So far 

 as known to Mr. K. no permanent harm has ever resuked from 

 its occupation of the human body. 



In February, 1902, Mr. K. came to me for the removal of his 

 "eye worm" which had made its appearance beneath the cuta- 

 neous surface of the upper lid of his right eye. Its movements 

 were readily visible. A fold of the skin was firmly seized with 

 a forceps so as to include the moving body, an incision was made 

 near the forceps and after a search of fifteen or twenty minutes 

 a portion of the parasite appeared in the wound; this was seized 

 and the animal extracted. Since the first appearance of the par- 

 asite in his body in 1899, it had shown itself at points as remote 

 as the sole of the foot and the face. He sometimes was unaware 

 of its presence for two or three months continuously, but it was 

 usually manifest at much shorter intervals. Previously unsuc- 

 cessful efiforts had been made to remove it from the inner side 

 of his left arm, below the nipple on the left side, and near the 

 lower angle of the left scapula. As a rule, having appeared at 

 an accessible point it was gone before a surgeon could be reached. 

 Mr. K. stated that he had experienced no inconvenience from the 

 presence of his tenant except when it approached the surface of 

 his body where it usually remained but a very short time. On 

 one occasion it gave rise to violent pain as it made its way across 

 the sclerotica below the iris of the right eye. 



Since the extraction of this specimen four months have 

 elapsed with no recurrence of the symptoms. Whether more 

 than a single specimen has ever existed in the body of this gen- 

 tlemen he does not know, but during the period of about three 

 years, from the first sign of its presence until the extraction of 

 the parasite in February last, the characteristic manifestations 

 have never appeared simultaneously at more than one point. 



OBSERVATIONS OF LOTA 



To these notes of the case of Milroy it is valuable to append 

 another little-known record quoted by Terrin. It is an interest- 

 ing account which gives the following clinical picture of F. Joa 



3.18 



