Oral prednisone (1 mg/kg/d) was started, and antifilarial treatment (diethylcarbamazine, 6 mg/kg/d for 3 weeks, and albendazole, 400 mg once daily for 1 week) was initiated 3 days later. Treatment with oral doxycycline hydrochloride, 100 mg twice daily, was given for 4 weeks to eradicate Wolbachia. Glaucoma was unresponsive to medical management. Therefore, a trabeculectomy with phacoemulsification and intraocular lens implantation was performed on the right eye within 1 week of commencing treatment with steroids. The postoperative period was uneventful. Six months later, phacoemulsification with intraocular lens implantation was performed on the left eye. Steroids were gradually tapered and stopped. Both eyes have been quiet for 6 months, with a visual acuity of 6/12 J2 due to an epiretinal membrane over the macula. Peripheral blood smear 1 year after doxycycline treatment did not show any microfilaria.