eng Science and Education Publishing American Journal of Public Health Research 2327-6703 2015-10-28 3 5A 4 5 10.12691/ajphr-3-5A-2 AJPHR201535A2 article Jamuna Gurung jamunaorama@gmail.com 1 Khem Raj Kaini 1 Department of Ophthalmology, Manipal College of Medical Sciences, Pokhara, Nepal Background: To share our experiences with a patient of leech infestation. Case description: A 70 years male presented to outpatient department of ophthalmology, Manipal Teaching Hospital with complaints of foreign body sensation, itching and redness of left eye for the past 7 days. He gives history of washing his face in tap water which comes directly from the stream and he had symptoms after this incident. Clinical diagnosis was leech adherent to the bulbar conjunctiva near the limbus at 1 o'clock position. The leech was extracted and there was no obvious signs and symptoms except for mild subconjunctival hemorrhage. Conclusion: Ocular infestation by leech is a rare occurrence. However, this should be considered when patient give history of foreign body sensation, redness and discomfort following swimming or washing face in streams, lakes or ponds. http://pubs.sciepub.com/ajphr/3/5A/2/ajphr-3-5A-2.pdf leech stream conjunctiva