We thank the authors for highlighting the technique of chemo paralysis of anterior chamber worms using lignocaine.[1]As described by Mehta et al.,[2] chemo paralysis seems to be an interesting alternative to successfully remove the motile worm from the anterior chamber. The focus of our manuscript however, was the bilateral presentation of dirofilariasis, and the need for careful examination of both eyes if a worm is detected in one eye.We agree that there is a difficulty in removing a live worm and paralyzing it before removal would make the surgical process easier.