Axenfeld Nerve Loop or Conjunctival Foreign Body?

Conjunctival foreign bodies are a common ophthalmic presentation frequently encountered in routine clinical practice. However, the appearance of a worm-like conjunctival lesion can pose a diagnostic challenge, particularly in patients with a history of travel to regions endemic for parasitic infections. This report outlines the investigation, diagnostic work-up, and management of conjunctival foreign bodies, reflecting on a case of suspected Axenfeld nerve loops masquerading as a conjunctival foreign body. In such cases, careful clinical assessment and appropriate diagnostic evaluation are essential to establish an accurate diagnosis and guide optimal management.