13th February 2025

A 32-year-old gentleman who has recently sought asylum from South Sudan, joining family in the UK, is referred to ophthalmology clinic with significant distortion of his peri-orbital anatomy.

A 32-year-old gentleman who has recently sought asylum from South Sudan, joining family in the UK, is referred to ophthalmology clinic with significant distortion of his peri-orbital anatomy. His upper eyelids bilaterally appear contracted, with an entropion present, and slight corneal opacity is noted. Visual acuity is noted to be moderately impaired.

What organism is responsible for the underlying disease?

Select the SINGLE most appropriate option from the list below. Select ONE option only.