Introduction: With the increase in the ratio of the elderly population to the total population, the abuse and neglect of the elderly is increasing day by day. Identifying elder abuse and neglect is a professional responsibility for nurses. In this case, it was aimed to share the rare medical diagnosis of an elderly and lonely woman, whose medical problems were ignored by her first degree relatives and herself, and who were exposed to problems such as poor hygiene and malnutrition, and it was aimed to evaluate the problems in line with nursing diagnoses. Case Presentation: The case is an 82-year-old woman patient who applied to the emergency department of a university hospital with complaints of pain and vision loss. The patient stated that a foreign body had stabbed in her left eye about two months ago, and she was brought to the hospital by ambulance because of severe pain in her eye. As a result of eye examination, it was determined that there was conjunctival intense hyperemic purulence with periorbital edema in the left eye, and helminths were located in the conjunctiva, under the eyelid, under the conjunctiva, and in the depths of the optic nerve and retina. Discussion: It is thought that the woman is neglected due to reasons such as living alone, being old and having a low socioeconomic level. In such complex cases, nurses working in a multidisciplinary team have many responsibilities. Complications that develop/may develop in similar cases with the nursing care plan can be managed in advance, so the complications can be minimized, the patient's quality of life can be increased, and the systematic continuity of care and treatment can be ensured. Therefore, it is recommended to apply a "nursing care plan" to improve the quality of care in similar complex cases.